Lana Jean Jackson, P.A.

NPI #1174570444 in Atlanta, Georgia

Provider Information

NPI Number: 1174570444
Entity Type: Individual
Name: Lana Jean Jackson, P.A.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5670 PEACHTREE DUNWOODY RD NE
Address 2: SUITE 1000
City: Atlanta
State: Georgia
ZIP Code: 30342-1704
Phone: (404) 255-1930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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