Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANJELA M JACKSON, MD
ActiveNephrology · ATLANTA, GA
Registration Details
- NPI Number
- 1265420574
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2005 (20.594062670556 yrs)
- Last Updated
- Dec 16, 2020
- License
-
054755 (GA)
Practice Information
- Address
-
3620 M L KING JR DR SWATLANTA, GA, 303313711Browse GA providers · Browse ZIP 30331
- Phone
- 4046967300
- Fax
- 4046993514
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| CHAMBERLAIN I OBIALO | MD | 1881694529 |
| MRS. LARA B WATKINS | MD | 1184611600 |
| DR. MICHEL BRATHWAITE | MD | 1295723492 |
| KHALID IQBAL | MD | 1598755993 |
| DARIUSH BAHRAMI | MD | 1659354850 |
| JERRY DEWAYNE COOPER | MD | 1396728598 |
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.