Individual
AUBREY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5405 N HILLBROOKE TRCE, JOHNS CREEK, GA 30005-7238
(404) 427-3457
Mailing address
5405 N HILLBROOKE TRCE, JOHNS CREEK, GA 30005-7238
(404) 427-3457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
343900000X
Non-emergency Medical Transport (VAN)
—
GA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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