Individual
ANNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAA
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322
(404) 785-6670
(404) 785-1362
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322
(404) 785-6670
(404) 785-1362
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1079
GA
Other
Enumeration date
08/09/2006
Last updated
04/27/2010
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