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Derek Jackson
Student in an Organized Health Care Education/Training Program in Sandy Springs, Georgia
NPI 1659887180

Derek Jackson is a Student in an Organized Health Care Education/Training Program based in Sandy Springs, GA. Derek Jackson practices in Sandy Springs, GA. The NPI Number for Derek Jackson is 1659887180 and holds a License No. (Georgia).

The current practice location address for Derek Jackson is 270 Carpenter Dr Ne, Sandy Springs, GA and can be reached out via phone at 678-460-0345 and via fax at 678-460-0350.

Location: 270 Carpenter Dr Ne, Sandy Springs, GA, 30328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659887180
Provider Name
Derek Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
270 Carpenter Dr Ne, Sandy Springs, GA, 30328
Phone Number
678-460-0345
Fax Number
678-460-0350
Provider Enumeration Date
12/20/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
270 Carpenter Dr Ne
City
Sandy Springs
State
Georgia
Zip
30328
Phone Number
678-460-0345
Fax Number
678-460-0350
person
Provider Business Mailing Address Details
Address
270 Carpenter Dr Ne
City
Sandy Springs
State
Georgia
Zip
30328
Phone Number
678-460-0345
Fax Number
678-460-0350
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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