DR. Angela Patrice Jackson, M.D.

NPI #1124292826 in Riverdale, Georgia

Provider Information

NPI Number: 1124292826
Entity Type: Individual
Name: DR. Angela Patrice Jackson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 15, 2008
Last Updated: Oct 25, 2011

Practice Location

Address: 808 COMMERCE BLVD
Address 2: SUITE A
City: Riverdale
State: Georgia
ZIP Code: 30296-7192
Phone: (770) 996-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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