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Individual

DR. JENNIFER A JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2015 UPPER GATE DR NE, ATLANTA, GA 30322-1014
(404) 727-5750
(404) 727-8213
Mailing address
2294 CLOVERDALE DR SE, ATLANTA, GA 30316

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057865
GA

Other

Enumeration date
12/05/2005
Last updated
07/08/2007
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