Individual
TONYA ALICIA ANDERSON-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 30058-5252
(770) 484-2600
(770) 484-0155
Mailing address
2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 30058-5252
(770) 484-2600
(770) 484-0155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN083430
GA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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