Organization
KRISTY H JACKSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY H JACKSON MD (CEO)
(404) 629-3933
Entity
Organization
Contact information
Practice address
920 DANNON VW SW, STE 3104, ATLANTA, GA 30331-2157
(404) 629-3933
(404) 629-3935
Mailing address
PO BOX 441, FAIRBURN, GA 30213-0441
(404) 629-3933
(404) 629-3935
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
060643
GA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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