Jackson, Lucy O

Jackson, Lucy O is an individual health care provider with primary practice located at 515 Fairburn Rd Sw Ste 350 , Atlanta GA 30331-2012. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jackson, Lucy O can be contacted via phone (404) 505-6754.

Contact Information

Primary practice address
515 Fairburn Rd Sw Ste 350 Atlanta GA 30331-2012
Phone: (404) 505-6754
Fax: (404) 505-6758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD001368 Georgia

Profile Details

NPI number 1538282603
LBN Legal business name Jackson, Lucy O
Credentials MSC, RD,CNS,IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 19 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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