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Mrs. Shontay Jackson, CPT
Phlebotomy Technician in Stone Mountain, Georgia
NPI 1851910897

Shontay Jackson is a Phlebotomy Technician based in Jonesboro, GA and is specialized in Phlebotomy. Shontay Jackson practices in Stone Mountain, GA and has the professional credentials of CPT. The NPI Number for Shontay Jackson is 1851910897 and holds a License No. 448156 (Georgia).

The current practice location address for Shontay Jackson is 4600 Rockbridge Rd Ste A, Stone Mountain, GA and can be reached out via phone at 888-484-6776.

Location: 4600 Rockbridge Rd Ste A, Stone Mountain, GA, 30236-3665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851910897
Provider Name
Shontay Jackson
Credential
CPT
Provider Entity Type
Individual
Gender
Female
Address
4600 Rockbridge Rd Ste A, Stone Mountain, GA, 30236-3665
Phone Number
888-484-6776
Fax Number
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4600 Rockbridge Rd Ste A
City
Stone Mountain
State
Georgia
Zip
30083-7312
Phone Number
888-484-6776
Fax Number
person
Provider Business Mailing Address Details
Address
4600 Rockbridge Rd Ste A
City
Stone Mountain
State
Georgia
Zip
30083-7312
Phone Number
888-484-6776
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
F07191809 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
448156 (California)
Definition
Definition to come...
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