JOHN M JACKSON

ATLANTA, GA
NPI1841219268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  002341)
Additional Taxonomies363A00000X Physician Assistant
(Licence: GA  002341)
Enumeration Date2006-07-18
Last Update Date2010-10-04
Business Address
Mr. JOHN M JACKSON AA
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309-1281
Phone number: 404-351-1745
Mailing Address
Mr. JOHN M JACKSON AA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839