Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGELA PATRICE JACKSON, M.D.
Active Sole ProprietorDR. ANGELA PATRICE JACKSON, M.D. is a Pediatrics healthcare provider located in RIVERDALE, Georgia. NPI 1124292826 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · RIVERDALE, GA
Registration Details
- NPI Number
- 1124292826
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2008 (18.151211002385 yrs)
- Last Updated
- Oct 25, 2011
- License
-
001627 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
808 COMMERCE BLVDSUITE ARIVERDALE, GA, 302967192Browse GA providers · Browse ZIP 30296
- Phone
- 7709969191
- Fax
- 7709965298
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in RIVERDALE, GA
| Name | Credential | NPI |
|---|---|---|
| PURNA L CHADALAWADA | MD | 1770532624 |
| SUBRAMANYAM P REDDY | MD | 1780618637 |
| ADRENE SELLERS-SCOTT | MD | 1821193046 |
| SOOK HEE AHN | MD | 1578664827 |
| MOO HEE LEE | MD | 1215038658 |
| ODELL BARNWELL III | MD | 1487755757 |
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.