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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDY H JACKSON, PA

Active

RANDY H JACKSON, PA is a Medical Physician Assistant healthcare provider located in GAINESVILLE, Georgia. NPI 1629010707 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · GAINESVILLE, GA

Registration Details

NPI Number
1629010707
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2006 (20.171111007686 yrs)
Last Updated
Nov 7, 2007
License
002048 (GA)

Practice Information

Address
743 SPRING ST NE
GAINESVILLE, GA, 305013715
Browse GA providers · Browse ZIP 30501
Phone
7705362146
Fax
7705367895
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in GAINESVILLE, GA

Name Credential NPI
WENDY K GALEK P.A. 1801892518
FARRAH H YON P.A. 1407852114
MR. JOHN DAVISON FILSON P.A. 1659370351
DEANINE M ANGOTTI PA 1992705131
MS. JENNIFER MANRY PA-C 1861474777
HALEY B. WILSON PA-C 1336111046
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.