Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY SONYA JACKSON
ActiveMS. MARY SONYA JACKSON is a Contractor healthcare provider located in ACWORTH, Georgia. NPI 1922605690 is currently active in the NPPES registry. Verify at CMS.
Contractor · ACWORTH, GA
Registration Details
- NPI Number
- 1922605690
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2020 (5.8718082551149 yrs)
- Last Updated
- Oct 6, 2020
- Licenses
-
NTO15850NTO15850 (GA)
Practice Information
- Address
-
5480 HEDGE BROOKE POINTE NWACWORTH, GA, 301017142Browse GA providers · Browse ZIP 30101
- Phone
- 4049605486
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Contractor
Other Contractor Providers in ACWORTH, GA
| Name | Credential | NPI |
|---|---|---|
| SEAN MCGEEHAN | — | 1487048575 |
| MRS. TYRIVIA THREAT | — | 1689474892 |
| MELISSA HERGERT | — | 1942166137 |
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.