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

FELTON LEWIS JACKSON III

Active Sole Proprietor

FELTON LEWIS JACKSON III is a Bus healthcare provider located in POWDER SPRINGS, Georgia. NPI 1134721384 is currently active in the NPPES registry. Verify at CMS.

Bus · POWDER SPRINGS, GA

Registration Details

NPI Number
1134721384
Provider Type
Individual
Gender
Male
NPI Issued
Nov 12, 2020 (5.7406653319227 yrs)
Last Updated
Oct 31, 2024
License
060541970 (GA)
Sole Proprietor
Yes

Practice Information

Address
4190 MISTYMORN WAY
POWDER SPRINGS, GA, 301272591
Browse GA providers · Browse ZIP 30127
Phone
6785575770
Fax
7708008127
Primary Specialty
Bus
343900000X

Other Bus Providers in POWDER SPRINGS, GA

Name Credential NPI
HANEEFAH BOX 1841150091
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.