LESLIE SCHAAD JACKSON

CANTON, GA
NPI1083057152
Former NameLESLIE E HEAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN149423)
Enumeration Date2013-04-09
Last Update Date2018-03-07
Business Address
LESLIE SCHAAD JACKSON FNP-C
10515 BELLS FERRY RD STE 200
CANTON, GA 30114-4204
Phone number: 678-493-0752
Mailing Address
LESLIE SCHAAD JACKSON FNP-C
460 NORTHSIDE CHEROKEE BLVD SUITE 170
CANTON, GA 30115-8016
Phone number: 770-721-9170