Organization
ENCOMPASS HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD ROBERTS JACKSON M.D. (PRESIDENT)
(404) 784-0607
Entity
Organization
Contact information
Practice address
3006 DOGWOOD DR, EAST POINT, GA 30344-3906
(404) 784-0607
Mailing address
3006 DOGWOOD DR, EAST POINT, GA 30344-3906
(404) 784-0607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051007
GA
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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