Individual
ANNANTA JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 NORTHSIDE PKWY NW BLDG 8, ATLANTA, GA 30327-3007
(404) 881-8020
Mailing address
4200 NORTHSIDE PKWY NW BLDG 8, ATLANTA, GA 30327-3007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7696
GA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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