Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTIE JACKSON
Active Sole ProprietorMATTIE JACKSON is a Pharmacist healthcare provider located in BAXLEY, Georgia. NPI 1669076345 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BAXLEY, GA
Registration Details
- NPI Number
- 1669076345
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2020 (5.6947123979815 yrs)
- Last Updated
- Nov 24, 2020
- License
-
RPH014330 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 MANNING WILLIAMS RDBAXLEY, GA, 315137431Browse GA providers · Browse ZIP 31513
- Phone
- 9122864739
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BAXLEY, GA
| Name | Credential | NPI |
|---|---|---|
| JOHN D GLENN | RPH,CDE | 1457348047 |
| DR. RAY ASHLEY DIXON | PHARMD | 1184657017 |
| MARK TOLLISON BARNES | R.PH. | 1619063765 |
| STANLEY N SMITH | PHARMACIST | 1932275823 |
| LISA LYNN HALL | — | 1972017242 |
| ERICA PAIGE HOWELL | PHARMD | 1992353833 |
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.