Antaures Jackson, D.C

NPI 1710011408 · on the registry since 2007

Practice

Address: 1720 Phoenix Blvd
Suite 450
College Park, GA 30349
Phone: (770) 909-0590
Fax: (770) 909-1045
Organisation at this address: Faith Pharmacy Inc
Compass Primary Care Llc
Kids Avenue Pediatrics Llc
Kids Avenue Pediatrics Llc
Phoenix Women'S Center, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-01-26

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