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:
Health care specialties
| Specialty | Code | License # | 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 4 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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