Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthwan Jackson, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1467757781

Anthwan Jackson, CNIM is an Electroneurodiagnostic Specialist/Technologist in Atlanta, Georgia. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

3290 Northside Pkwy NW Ste 300
Atlanta, GA 30327-2273
Phone: (404) 201-6013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1467757781
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorNo
NPI enumeratedJanuary 18, 2011
Last updated in NPPESJanuary 18, 2011
Mailing address3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273

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