Jackson, Lewis W.
Jackson, Lewis W. is an individual health care provider with primary practice located at 2959 Sharpsburg Mccollum Rd , Newnan GA 30265-2297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jackson, Lewis W. can be contacted via phone (770) 502-2000.Contact Information
Primary practice address
2959 Sharpsburg Mccollum Rd
Newnan GA 30265-2297
Phone: (770) 502-2000
Fax: (770) 502-2009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042294 | Georgia |
Profile Details
| NPI number | 1891779096 |
|---|---|
| LBN Legal business name | Jackson, Lewis W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Mar 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891779096 | NPPES |
| Georgia | MEDICAID | 000717131E |
Popular Providers
-
Payne, Michelle
2959 Sharpsburg Mccullum Rd , Newnan GA 30265-2297 -
Boles, Shannon Leigh
931 Lower Fayetteville Rd Ste J , Newnan GA 30263-5790 -
Justice, Regina P
2462 Highway 34 East Suite A, Newnan GA 30265 -
Whipple, Robert L.
775 Poplar Rd Suite 150, Newnan GA 30265-8300 -
Roberts, Jamison R.
2959 Sharpsburg Mccullum Rd , Newnan GA 30265-2297 -
Amosu, Melinda O
189 Jefferson Pkwy , Newnan GA 30263-5823 -
Escalante, Christina Rochelle
189 Jefferson Pkwy , Newnan GA 30263-5823 -
Carter, J. Edwyn
189 Jefferson Pkwy , Newnan GA 30263-5823