Jackson, Amanda

Jackson, Amanda is an sole proprietor health care provider with primary practice located at 1269 Barclay Cir Se , Marietta GA 30060-2903. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Jackson, Amanda can be contacted via phone (919) 370-0423.

Contact Information

Primary practice address
1269 Barclay Cir Se Marietta GA 30060-2903
Phone: (919) 370-0423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT003082 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X LAT-2819 North Carolina

Profile Details

NPI number 1770017949
LBN Legal business name Jackson, Amanda
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2017
Last updated Apr 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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