Dr. Bethany Wall Jackson, MD
Dr. Bethany Wall Jackson, MD is a Pediatrics Physician in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2008.
- Licensed in
- GA
- In the registry since
- 2008
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2112 Shorter Ave NW Ste 240Rome, GA 30165-2042
Phone: (706) 368-8575
Fax: (706) 204-9430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 060642 (GA) |
|---|
Record details
| NPI number | 1033396841 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 23, 2008 |
| Last updated in NPPES | April 16, 2024 |
| Certification date | April 16, 2024 |
| Mailing address | Po Box 12938, C/O Clinic Management, Calhoun, GA 30703 |
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