Jackson, Atavia

Jackson, Atavia is an sole proprietor health care provider with primary practice located at 5229 Jackson Rd , Morven GA 31638-3934. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jackson, Atavia can be contacted via phone (229) 561-5507.

Contact Information

Primary practice address
5229 Jackson Rd Morven GA 31638-3934
Phone: (229) 561-5507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1528550209
LBN Legal business name Jackson, Atavia
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2018
Last updated May 30th, 2018 - about 8 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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