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

Robert Jackson

Individual provider Driver · NPI 1407584964

Robert Jackson is a Driver in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
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Practice location Address checks out

2058 Belmont Cir
Conyers, GA 30012-7112
Phone: (470) 816-8668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 061379994 (GA)

Record details

NPI number1407584964
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address2058 Belmont Cir, Conyers, GA 30012-7112

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