Jackson, Robert

Jackson, Robert is an sole proprietor health care provider with primary practice located at 2058 Belmont Cir , Conyers GA 30012-7112. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Robert can be contacted via phone (470) 816-8668.

Contact Information

Primary practice address
2058 Belmont Cir Conyers GA 30012-7112
Phone: (470) 816-8668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 061379994 Georgia

Profile Details

NPI number 1407584964
LBN Legal business name Jackson, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2022
Last updated Aug 12th, 2022 - about 2 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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