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Atavia Jackson, ST — NPI 1528550209, Morven, GA | NPI Central

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NPI 1528550209

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Atavia Jackson, ST

NPI 1528550209 · Contractor · Morven, GA

Provider details

NPI number: 1528550209
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: ST
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

ContractorPrimary171W00000X
Other Service Providers

Practice location

5229 Jackson Rd

Morven, GA 31638-3934

Phone: (229) 561-5507

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

5229 Jackson Rd

Morven, GA 31638-3934

Registry dates

Enumerated: 2018-05-30
Last updated: 2018-05-30

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