Individual
DR. TODD JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5665 NEW NORTHSIDE DR STE 200, ATLANTA, GA 30328-4617
(404) 778-5975
(404) 778-2630
Mailing address
203 HILLTOP DR SW, ATLANTA, GA 30315-6019
(404) 983-5256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
90618
GA
Other
Enumeration date
04/07/2020
Last updated
08/17/2023
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