Organization
R. ELLIOTT JACKSON GERIATRICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMSEY ELLIOTT JACKSON M.D. (OWNER)
(404) 213-3672
Entity
Organization
Contact information
Practice address
2650 WEIGELIA RD NE, ATLANTA, GA 30345-3969
(404) 213-3672
(770) 458-1596
Mailing address
3904 N DRUID HILLS RD, #222, DECATUR, GA 30033-3105
(770) 458-1594
(770) 458-1596
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
047774
GA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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