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.
Popular Providers
-
Wade, Coretta
270 Carpenter Dr Ste 400 , Sandy Springs GA 30328-4933 -
Fussell-Ware, Dashawna Juanita
270 Carpenter Dr Ste 400 , Sandy Springs GA 30328-4933 -
Holliday, Wyakemia
270 Carpenter Dr Suite 400, Sandy Springs GA 30328-4931 -
Austin, Simone
522 Granville Ct Ne , Sandy Springs GA 30328-3440 -
Lewis, Erin Ilana
1100 Johnson Ferry Rd Ne Suite 200, Sandy Springs GA 30342 -
Mercer, Chisha
270 Carpenter Dr Ste 400 , Sandy Springs GA 30328-4933 -
Oramas, Eliezer
270 Carpenter Dr Ste 400 , Sandy Springs GA 30328-4933 -
Sundararajan, Indu
1100 Lake Hearn Dr Ste 250 Kaiser Permanente Sandy Springs Medical Office, Sandy Springs GA 30342-1523