Jackson, Anthwan

Jackson, Anthwan is an individual health care provider with primary practice located at 3290 Northside Pkwy Nw Suite 300, Atlanta GA 30327-2273. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Jackson, Anthwan can be contacted via phone (404) 201-6013.

Contact Information

Primary practice address
3290 Northside Pkwy Nw Suite 300 Atlanta GA 30327-2273
Phone: (404) 201-6013
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1467757781
LBN Legal business name Jackson, Anthwan
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Jan 18th, 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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