Individual
MARSHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5734 WIND GATE LN, LITHONIA, GA 30058-2601
(470) 747-2612
Mailing address
8170 MALL PKWY # 1114, LITHONIA, GA 30038-2545
(470) 747-2612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN319434
GA
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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