ROGER LEE JACKSON

ATLANTA, GA
NPI1881214872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy146M00000X Emergency Medical Technician, Intermediate
(Licence: GA  40076)
Enumeration Date2020-04-20
Last Update Date2020-04-20
Business Address
ROGER LEE JACKSON
713 CLIFTON RD SE
ATLANTA, GA 30316-2229
Phone number: 404-246-5444
Mailing Address
ROGER LEE JACKSON
713 CLIFTON RD SE
ATLANTA, GA 30316-2229
Phone number: 404-246-5444