Melody Jackson

NPI #1891676961 in Lilburn, Georgia

Provider Information

NPI Number: 1891676961
Entity Type: Individual
Name: Melody Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 909 INDIAN LAKE DR NW
City: Lilburn
State: Georgia
ZIP Code: 30047-6807
Phone: (770) 990-6065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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