Jackson, Daron

Jackson, Daron is an individual health care provider with primary practice located at 122 Eagles Landing Pkwy Suite A, Stockbridge GA 30281-5091. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jackson, Daron can be contacted via phone (678) 289-0525.

Contact Information

Primary practice address
122 Eagles Landing Pkwy Suite A Stockbridge GA 30281-5091
Phone: (678) 289-0525
Fax: (678) 289-0529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1366521247
LBN Legal business name Jackson, Daron
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Nov 4th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366521247 NPPES
Georgia Other 008120 LICENSE#

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