Whalio Doctors

NPI 1043484645

Kristy Hendricks Jackson, MD

Practitioner Psychiatry Physician Marietta, GA

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
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 060643 (GA)

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.