Jackson, Regina Denise

Jackson, Regina Denise is an sole proprietor health care provider with primary practice located at 2220 Hewatt Rd , Snellville GA 30039-4021. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson, Regina Denise can be contacted via phone (770) 978-4157.

Contact Information

Primary practice address
2220 Hewatt Rd Snellville GA 30039-4021
Fax: (770) 978-6563
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH020468 Georgia

Profile Details

NPI number 1902188600
LBN Legal business name Jackson, Regina Denise
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2011
Last updated Sep 19th, 2011 - about 14 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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