MS. Angela C Jackson, RD, LD

NPI #1952603623 in Lithonia, Georgia

Provider Information

NPI Number
1952603623
Entity Type
Individual
Name
MS. Angela C Jackson, RD, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD, LD
Enumeration Date
Dec 1, 2010
Last Updated
Dec 1, 2010

Practice Location

Address
5408 WELLBORN CREEK DR
State
Georgia
ZIP Code
30058-3549
Phone
(678) 418-7010

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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