Individual
MRS. KATHRYN HORTON JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5445 MERIDIAN MARKS RD NE, SUITE 190, ATLANTA, GA 30342-4763
(404) 459-1740
(404) 459-7145
Mailing address
2123 ADDERBURY LN SW, SMYRNA, GA 30082-3665
(770) 850-4224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019300
GA
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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