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Atavia Jackson, ST
Contractor in Morven, Georgia
NPI 1528550209

Atavia Jackson is a Contractor based in Morven, GA. Atavia Jackson practices in Morven, GA and has the professional credentials of ST. The NPI Number for Atavia Jackson is 1528550209 and holds a License No. (Georgia).

The current practice location address for Atavia Jackson is 5229 Jackson Rd, Morven, GA and can be reached out via phone at 229-561-5507.

Location: 5229 Jackson Rd, Morven, GA, 31638-3934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528550209
Provider Name
Atavia Jackson
Credential
ST
Provider Entity Type
Individual
Gender
Female
Address
5229 Jackson Rd, Morven, GA, 31638-3934
Phone Number
229-561-5507
Fax Number
Provider Enumeration Date
05/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5229 Jackson Rd
City
Morven
State
Georgia
Zip
31638-3934
Phone Number
229-561-5507
Fax Number
person
Provider Business Mailing Address Details
Address
5229 Jackson Rd
City
Morven
State
Georgia
Zip
31638-3934
Phone Number
229-561-5507
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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