NPI 1881214872

Roger Lee Jackson

Practitioner Intermediate Emergency Medical Technician Atlanta, GA

Practice location

Address: 713 Clifton Rd SE, Atlanta, GA 30316-2229
Phone: (404) 246-5444

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 40076 (GA)

Other Emergency Medical Technician, Intermediate providers in Georgia →

Registry record

NPI: 1881214872
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2020
Record last updated: 20 Apr 2020

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.