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

Mr. Vincent Paul Jackson, RTR

Individual provider Radiologic Technologist · NPI 1033471669

Mr. Vincent Paul Jackson, RTR is a Radiologic Technologist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012

Practice location Address checks out

4950 Glaze Dr
Atlanta, GA 30360-1702
Phone: (770) 990-6821
Show map & directions

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

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence 394412 (MN)

Record details

NPI number1033471669
Entity typeIndividual (Type 1)
GenderMale
Credentials RTR
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESJune 11, 2012

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