NPI 1104228436

Terrell Aaron Jackson

Practitioner Surgical Technologist Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (706) 951-0031

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Georgia →

Registry record

NPI: 1104228436
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2014
Record last updated: 18 Sep 2014

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.