Geraldine Jackson
Geraldine Jackson provides Customized Equipment (DME) in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
149 N Park TrlStockbridge, GA 30281-7373
Phone: (770) 947-3967
Fax: (678) 369-7392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X (GA) |
|---|
Record details
| NPI number | 1154422160 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Geraldine Jackson — President · (770) 947-3967 |
| NPI enumerated | September 25, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 149 N Park Trl, Stockbridge, GA 30281-7373 |
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