Alice Jackson Valid NPI
Individual provider · Attendant Care Provider · Moreland, GA
- NPI
- 1366090813
- Type
- Individual (Type 1)
- Primary specialty
- Attendant Care Provider (Technician)
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 3747A0650X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Practice location
1389 Gordon Rd
Moreland, GA 30259-2541
(770) 251-8209