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Ms. Mary Sonya Jackson
Contractor in Acworth, Georgia
NPI 1922605690

Mary Sonya Jackson is a Contractor based in Acworth, GA. Mary Sonya Jackson practices in Acworth, GA. The NPI Number for Mary Sonya Jackson is 1922605690 and holds a License No. NTO15850 (Georgia).

The current practice location address for Mary Sonya Jackson is 5480 Hedge Brooke Pointe Nw, Acworth, GA and can be reached out via phone at 404-960-5486.

Location: 5480 Hedge Brooke Pointe Nw, Acworth, GA, 30101-7142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922605690
Provider Name
Mary Sonya Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5480 Hedge Brooke Pointe Nw, Acworth, GA, 30101-7142
Phone Number
404-960-5486
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000 01 GA N/A
institution
Provider Business Practice Location Address Details
Address
5480 Hedge Brooke Pointe Nw
City
Acworth
State
Georgia
Zip
30101-7142
Phone Number
404-960-5486
Fax Number
person
Provider Business Mailing Address Details
Address
5480 Hedge Brooke Pointe Nw
City
Acworth
State
Georgia
Zip
30101-7142
Phone Number
404-960-5486
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
NTO15850 (Georgia)
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).
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
NTO15850 ()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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