Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT JACKSON
Active Sole ProprietorROBERT JACKSON is a Driver healthcare provider located in CONYERS, Georgia. NPI 1407584964 is currently active in the NPPES registry. Verify at CMS.
Driver · CONYERS, GA
Registration Details
- NPI Number
- 1407584964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2022 (4.0146068657016 yrs)
- Last Updated
- Aug 12, 2022
- License
-
061379994 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2058 BELMONT CIRCONYERS, GA, 300127112Browse GA providers · Browse ZIP 30012
- Phone
- 4708168668
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in CONYERS, GA
| Name | Credential | NPI |
|---|---|---|
| TENNIEL SINGLETON-THOMAS | — | 1114303260 |
| MICO B TURNER | OWNER | 1912676495 |
| MR. WILLIAM STANLEY LEE II | — | 1386456861 |
| LUANA REECE | — | 1598555716 |
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.