MS. MARY JACKSON
Contractor
Active
Individual
NPI: 1922605690
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor - Home Modifications | 171WH0202X | No | NTO15850 () |
| Peer Specialist | 175T00000X | No | - |
| Contractor | 171W00000X | Yes | NTO15850 (GA) |
Frequently Asked Questions
NPI 1922605690 is the National Provider Identifier for MS. MARY JACKSON, a Contractor provider located in Acworth, GA. This NPI was enumerated on October 6, 2020.
MS. MARY JACKSON practices at 5480 HEDGE BROOKE POINTE NW, Acworth, GA 30101.
Quick Facts
- NPI
- 1922605690
- Type
- Individual
- Enumerated
- Oct 6, 2020
- Last Updated
- Oct 6, 2020
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