NPI 1033471669

Vincent Paul Jackson, RTR

Practitioner Radiologic Technologist Atlanta, GA

Practice location

Address: 4950 Glaze Dr, Atlanta, GA 30360-1702
Phone: (770) 990-6821

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 394412 (MN)

Other Radiologic Technologist providers in Georgia →

Registry record

NPI: 1033471669
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2012
Record last updated: 11 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.