Jackson, Kimberly

Jackson, Kimberly is an individual health care provider with primary practice located at 277 Highway 74 N Ste 203, Peachtree City GA 30269-1569. 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, Kimberly can be contacted via phone (678) 364-0337.

Contact Information

Primary practice address
277 Highway 74 N Ste 203 Peachtree City GA 30269-1569
Phone: (678) 364-0337
Fax: (678) 364-0858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001774 Georgia

Profile Details

NPI number 1053672634
LBN Legal business name Jackson, Kimberly
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated May 31st, 2012 - about 14 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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