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NPI 1265828883

IndividualActive

Anee Sophia Jackson, MD

NPI 1265828883 · Surgery Physician · Atlanta, GA

Provider details

NPI number: 1265828883
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: 4301507139 (MI)

Practice location

550 Peachtree St Ne Ste 1430

Atlanta, GA 30308-2242

Phone: (404) 778-3712

Fax: (404) 778-0820

More GA providers

Mailing address

125 Parkwood Ln

Decatur, GA 30030-2857

Registry dates

Enumerated: 2015-04-10
Last updated: 2023-08-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anee Sophia Jackson, MD — NPI 1265828883, Atlanta, GA | NPI Central