Jackson, Breiane

Jackson, Breiane is an individual health care provider with primary practice located at 2790 Cobb Pkwy Nw , Kennesaw GA 30152-3455. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Jackson, Breiane can be contacted via phone (770) 793-1838.

Contact Information

Primary practice address
2790 Cobb Pkwy Nw Kennesaw GA 30152-3455
Phone: (770) 793-1838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X PHTC051863 Georgia

Profile Details

NPI number 1326647199
LBN Legal business name Jackson, Breiane
Credentials LICENSED CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2020
Last updated Oct 22nd, 2020 - about 4 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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