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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY JACKSON, ATC

Active

KIMBERLY JACKSON, ATC is a Athletic Trainer healthcare provider located in PEACHTREE CITY, Georgia. NPI 1053672634 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PEACHTREE CITY, GA

Registration Details

NPI Number
1053672634
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2012 (14.166198165827 yrs)
Last Updated
May 31, 2012
License
AT001774 (GA)

Practice Information

Address
277 HIGHWAY 74 N
STE 203
PEACHTREE CITY, GA, 302691569
Browse GA providers · Browse ZIP 30269
Phone
6783640337
Fax
6783640858
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PEACHTREE CITY, GA

Name Credential NPI
DANIEL MCADAMS MS, ATC 1982002291
ADRIANA ACUNA ATC, LAT 1518323054
MR. MARK MAYFIELD A.T.C. 1902260318
ZACHERY LOUIS HASEKOESTER ATC, M.ED. 1760836787
HEATHER MILLER 1699129411
JASON STEVENS 1043664741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.