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1265420574
TANJELA M JACKSON
ATLANTA, GA
NPI
1265420574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: GA 054755)
Enumeration Date
2005-10-11
Last Update Date
2020-12-16
Business Address
Dr. TANJELA M JACKSON MD
3620 M L KING JR DR SW
ATLANTA, GA 30331-3711
Phone number: 404-696-7300
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Mailing Address
Dr. TANJELA M JACKSON MD
3620 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30331-3711
Phone number: 404-696-7300
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