NPI 1043484645
Kristy Hendricks Jackson, MD
Practice location
- Address
- 2540 Windy Hill Rd SE, Marietta, GA 30067-8605
- Phone
- (770) 644-1570
- Mailing address
- 475 Fairburn Rd SW, Atlanta, GA 30331-1907
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1043484645
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Apr 2008
- Record last updated
- 15 Oct 2019
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.