Individual
RASHAWN WANYA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
427 W BANKHEAD HWY, VILLA RICA, GA 30180-1702
(770) 456-2550
Mailing address
PO BOX 5052, DOUGLASVILLE, GA 30154-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN124302
GA
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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