Felton Lewis Jackson III
NPI #1134721384 in Powder Springs, Georgia
Provider Information
- NPI Number
- 1134721384
- Entity Type
- Individual
- Name
- Felton Lewis Jackson III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Nov 12, 2020
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 4190 MISTYMORN WAY
- City
- Powder Springs
- State
- Georgia
- ZIP Code
- 30127-2591
- Phone
- (678) 557-5770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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