Jackson, Derek
Jackson, Derek is an individual health care provider with primary practice located at 270 Carpenter Dr Ne Suite 400, Sandy Springs GA 30328. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Jackson, Derek can be contacted via phone (678) 460-0345.Contact Information
Primary practice address
270 Carpenter Dr Ne Suite 400
Sandy Springs GA 30328
Phone: (678) 460-0345
Fax: (678) 460-0350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1659887180 |
|---|---|
| LBN Legal business name | Jackson, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2017 |
| Last updated | Jun 16th, 2018 - about 6 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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