Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN M. JACKSON, M.D.
ActiveJUSTIN M. JACKSON, M.D. is a Anesthesiology healthcare provider located in TUCKER, Georgia. NPI 1417216375 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · TUCKER, GA
Registration Details
- NPI Number
- 1417216375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2012 (14.278141906696 yrs)
- Last Updated
- Sep 19, 2018
- License
-
76288 (GA)
Practice Information
- Address
-
1455 MONTREAL RDTUCKER, GA, 300848100Browse GA providers · Browse ZIP 30084
- Phone
- 4042513000
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in TUCKER, GA
| Name | Credential | NPI |
|---|---|---|
| PRITIKA BHATIA | MD | 1962458349 |
| ADITYA MARWAHA | D.O. | 1811122716 |
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.