Jackson, William Thomas

Jackson, William Thomas is an sole proprietor health care provider with primary practice located at 1364 Clifton Rd Ne , Atlanta GA 30322-1059. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jackson, William Thomas can be contacted via phone (404) 727-7825.

Contact Information

Primary practice address
1364 Clifton Rd Ne Atlanta GA 30322-1059
Phone: (404) 727-7825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT002062 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1013311752
LBN Legal business name Jackson, William Thomas
Credentials M.S., ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2014
Last updated Feb 5th, 2021 - about 5 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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