institution
Geraldine Jackson
Customized Equipment (DME) in Stockbridge, Georgia
NPI 1154422160

Geraldine Jackson is a Customized Equipment (DME) based in Stockbridge, GA and is specialized in Customized Equipment. Geraldine Jackson practices in Stockbridge, GA. The NPI Number for Geraldine Jackson is 1154422160 and holds a License No. (Georgia).

The current practice location address for Geraldine Jackson is 149 N Park Trl, Stockbridge, GA and can be reached out via phone at 770-947-3967 and via fax at 678-369-7392.

Location: 149 N Park Trl, Stockbridge, GA, 30281-7373
institution
Provider Profile Details
NPI Number
1154422160
Provider Name
Geraldine Jackson
Credential
Provider Entity Type
Organization
Address
149 N Park Trl, Stockbridge, GA, 30281-7373
Phone Number
770-947-3967
Fax Number
678-369-7392
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
149 N Park Trl
City
State
Zip
30281-7373
Phone Number
770-947-3967
Fax Number
678-369-7392
person
Provider Business Mailing Address Details
Address
149 N Park Trl
City
State
Zip
30281-7373
Phone Number
770-947-3967
Fax Number
678-369-7392
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
(Georgia)
Definition
Definition to come...
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