Individual
JERMAINE M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE T-1, ATLANTA, GA 30309-1414
(404) 350-0009
(404) 350-0280
Mailing address
2045 PEACHTREE RD NE, SUITE T-1, ATLANTA, GA 30309-1414
(404) 350-0009
(404) 350-0280
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
060278
GA
Other
Enumeration date
01/15/2008
Last updated
01/14/2016
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