Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH JACKSON, MD
ActiveDR. KEITH JACKSON, MD is a Otolaryngology healthcare provider located in ROSWELL, Georgia. NPI 1225016454 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · ROSWELL, GA
Registration Details
- NPI Number
- 1225016454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2006 (20.636514907114 yrs)
- Last Updated
- Oct 15, 2019
- License
-
027575 (GA)
Practice Information
- Address
-
1360 UPPER HEMBREE RD STE 201BROSWELL, GA, 300761230Browse GA providers · Browse ZIP 30076
- Phone
- 7704753361
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in ROSWELL, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW DIAMOND | MD | 1114905379 |
| VIVEK V. GURUDUTT | MD | 1093736613 |
| BRYANT THOMAS CONGER JR. | M.D. | 1538320809 |
| SUNNY SINGH KHICHI | M.D. | 1215255203 |
| KIA RENEE JONES | MD | 1447570320 |
| DR. MATHIEU FORGUES | M.D | 1508284209 |
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.