Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE JACKSON
Active Sole ProprietorALICE JACKSON is a Podiatric Surgery healthcare provider located in MORELAND, Georgia. NPI 1366090813 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MORELAND, GA
Registration Details
- NPI Number
- 1366090813
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2019 (6.9409098375765 yrs)
- Last Updated
- Aug 28, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1389 GORDON RDMORELAND, GA, 302592541Browse GA providers · Browse ZIP 30259
- Phone
- 7702518209
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in MORELAND, GA
| Name | Credential | NPI |
|---|---|---|
| APRIL SMITH | — | 1306674031 |
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.