Individual
DR. GREGORY DENNIS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 JESSE JEWELL PKWY NE, SUITE 300, GAINESVILLE, GA 30501-3822
(770) 219-6520
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
072024
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
072024
GA
Other
Enumeration date
07/20/2009
Last updated
10/07/2020
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