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Search › Georgia › 1835P0018X

Andrea Jackson, RPH

NPI 1104854603 · on the registry since 2006

Practice

Address
1670 Clairmont Rd
Decatur, GA 30033
Phone
(404) 321-6111
Fax
(404) 728-4707
Organisation at this address
Dva Atlanta
Atlanta Vamc
Atlanta Vamc
Atlanta Vamc
Atlanta Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,025

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
183500000X
183500000X
Licence states on file
SC, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia