Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PURDY JACKSON
ActivePURDY JACKSON is a Registered Dietitian healthcare provider located in CARROLLTON, Georgia. NPI 1265055669 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · CARROLLTON, GA
Registration Details
- NPI Number
- 1265055669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2020 (6.2710906751126 yrs)
- Last Updated
- May 20, 2020
- License
-
86113132 (GA)
Practice Information
- Address
-
705 DIXIE STCARROLLTON, GA, 301173818Browse GA providers · Browse ZIP 30117
- Phone
- 7708129666
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in CARROLLTON, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. JESSICA GREER ZOMBEK | RD, LD | 1508859992 |
| KATHERINE S NICKLESS | RD LD | 1245325554 |
| ANNE MARIE MCGEE | RD, LD, CDCES | 1821137209 |
| MS. HOLLY HASLAM GARNER | MS, RD, LD | 1639381288 |
| MS. SHAUNTEL LENORA RAGLAND | M.S., R.D., L.D. | 1366652877 |
| MRS. PAULA EVANS HOGAN | RD, LD | 1295924868 |
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.