Jackson, Vincent Paul

Jackson, Vincent Paul is an sole proprietor health care provider with primary practice located at 4950 Glaze Dr , Atlanta GA 30360-1702. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Jackson, Vincent Paul can be contacted via phone (770) 990-6821.

Contact Information

Primary practice address
4950 Glaze Dr Atlanta GA 30360-1702
Phone: (770) 990-6821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 394412 Minnesota

Profile Details

NPI number 1033471669
LBN Legal business name Jackson, Vincent Paul
Credentials RT(R)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 12 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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