person
Jackson P Ward IV, PA-C
Medical Physician Assistant in Kennesaw, Georgia
NPI 1891860144

Jackson P Ward IV is a Medical Physician Assistant based in Atlanta, GA and is specialized in Medical. Jackson P Ward IV practices in Kennesaw, GA and has the professional credentials of PA-C. The NPI Number for Jackson P Ward IV is 1891860144 and holds a License No. 03220 (Georgia).

The current practice location address for Jackson P Ward IV is 750 Townpark Ln Nw, Kennesaw, GA and can be reached out via phone at 770-514-5401 and via fax at 770-994-4747.

Location: 750 Townpark Ln Nw, Kennesaw, GA, 30305-1717
person
Provider Profile Details
NPI Number
1891860144
Provider Name
Jackson P Ward IV
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
750 Townpark Ln Nw, Kennesaw, GA, 30305-1717
Phone Number
770-514-5401
Fax Number
770-994-4747
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
750 Townpark Ln Nw
City
State
Zip
30144-5579
Phone Number
770-514-5401
Fax Number
770-994-4747
person
Provider Business Mailing Address Details
Address
750 Townpark Ln Nw
City
State
Zip
30144-5579
Phone Number
770-514-5401
Fax Number
770-994-4747
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
03220 (Georgia)
Definition
Definition to come...
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