Individual
DR. AMY TROBAUGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 686-8932
Mailing address
2575 VARNER DR NE, ATLANTA, GA 30345-1571
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH020964
GA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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