Individual
MONICA DENICE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR RESTORATION S
Contact information
Practice address
5143 OLD NATIONAL HWY, ATLANTA, GA 30349-3343
(615) 505-1144
Mailing address
1001 MASON TUCKER DR, SMYRNA, TN 37167-5612
(615) 947-2418
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
12/26/2025
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