Thomas, Derrick Jackson

Thomas, Derrick Jackson is an individual health care provider with primary practice located at 1 Bonnybridge Rd , Savannah GA 31407-1312. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Thomas, Derrick Jackson can be contacted via phone (704) 796-9595.

Contact Information

Primary practice address
1 Bonnybridge Rd Savannah GA 31407-1312
Phone: (704) 796-9595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT003116 Georgia

Profile Details

NPI number 1033610415
LBN Legal business name Thomas, Derrick Jackson
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2018
Last updated Feb 22nd, 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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