Jackson, Diontae Sherree'
Jackson, Diontae Sherree' is an sole proprietor health care provider with primary practice located at 118 Whitley Xing , Rockmart GA 30153-1101. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Jackson, Diontae Sherree' can be contacted via phone (828) 817-9111.Contact Information
Primary practice address
118 Whitley Xing
Rockmart GA 30153-1101
Phone: (828) 817-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | D7D5R5F7 | North Carolina |
Profile Details
| NPI number | 1528809050 |
|---|---|
| LBN Legal business name | Jackson, Diontae Sherree' |
| Credentials | CPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2024 |
| Last updated | Jun 6th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528809050 | NPPES |
| Georgia | Other | G8RWUDZX5PS5 | UEI |
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