Individual
MS. TORRIE SHAPALE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDN, LDN
Contact information
Practice address
175 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(678) 641-5887
Mailing address
175 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(678) 641-5887
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002949
GA
Other
Enumeration date
08/16/2012
Last updated
04/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us