CHANDA WALLER JACKSON

ATLANTA, GA
NPI1245742329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN213894)
Additional Taxonomies207RI0011X Internal Medicine, Interventional Cardiology
(Licence: GA  RN213894)
Enumeration Date2017-10-30
Last Update Date2023-06-15
Business Address
CHANDA WALLER JACKSON NP
95 COLLIER RD NW STE 5015
ATLANTA, GA 30309-1721
Phone number: 404-605-6517
Mailing Address
CHANDA WALLER JACKSON NP
550 PEACHTREE STREET DAVIS FISHER BUILDING, OFFICE 3245A
ATLANTA, GA 30308
Phone number: 404-686-7858