Jackson, Angela Patrice
Jackson, Angela Patrice is an sole proprietor health care provider with primary practice located at 808 Commerce Blvd Suite A, Riverdale GA 30296-7192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson, Angela Patrice can be contacted via phone (770) 996-9191.Contact Information
Primary practice address
808 Commerce Blvd Suite A
Riverdale GA 30296-7192
Phone: (770) 996-9191
Fax: (770) 996-5298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 001627 | Georgia |
Profile Details
| NPI number | 1124292826 |
|---|---|
| LBN Legal business name | Jackson, Angela Patrice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Oct 25th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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