Jackson, Olymphia Anecia
Jackson, Olymphia Anecia is an sole proprietor health care provider with primary practice located at 4352 Missoula Pl , Douglasville GA 30135-8608. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackson, Olymphia Anecia can be contacted via phone (678) 715-1544.Contact Information
Primary practice address
4352 Missoula Pl
Douglasville GA 30135-8608
Phone: (678) 715-1544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT007580 | Georgia |
Profile Details
| NPI number | 1225124712 |
|---|---|
| LBN Legal business name | Jackson, Olymphia Anecia |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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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