Jackson, Anne Marie
Jackson, Anne Marie is an individual health care provider with primary practice located at 3200 Shakerag Hl , Peachtree City GA 30269-6511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jackson, Anne Marie can be contacted via phone (770) 487-0760.Contact Information
Primary practice address
3200 Shakerag Hl
Peachtree City GA 30269-6511
Phone: (770) 487-0760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT004476 | Georgia |
Profile Details
| NPI number | 1134208929 |
|---|---|
| LBN Legal business name | Jackson, Anne Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134208929 | NPPES |
| Georgia | Other | PT004476 | STATE LISC NUMBER |
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