Jackson, Roger Lee

Jackson, Roger Lee is an sole proprietor health care provider with primary practice located at 713 Clifton Rd Se , Atlanta GA 30316-2229. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Jackson, Roger Lee can be contacted via phone (404) 246-5444.

Contact Information

Primary practice address
713 Clifton Rd Se Atlanta GA 30316-2229
Phone: (404) 246-5444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 40076 Georgia

Profile Details

NPI number 1881214872
LBN Legal business name Jackson, Roger Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2020
Last updated Apr 20th, 2020 - about 5 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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