Search › Georgia › 122300000X
Kansington Jackson
NPI 1184411191 · on the registry since 2025
Practice
- Address
- 1030 Duluth Hwy Ste A
Lawrenceville, GA 30043 - Phone
- (770) 995-1957
- Fax
- (770) 995-8579
- Organisation at this address
- Gwinnett Denture Center Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-13
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