Jackson, Shontay

Jackson, Shontay is an individual health care provider with primary practice located at 4600 Rockbridge Rd Ste A , Stone Mountain GA 30083-7312. She recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Physician Assistants & Advanced Practice Nursing Providers / Family, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is her primary health care specialty. Jackson, Shontay can be contacted via phone (888) 484-6776.

Contact Information

Primary practice address
4600 Rockbridge Rd Ste A Stone Mountain GA 30083-7312
Phone: (888) 484-6776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 448156 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F07191809 Georgia
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1851910897
LBN Legal business name Jackson, Shontay
Credentials CPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2020
Last updated May 6th, 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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