| Purdy Jackson, | |
|
705 Dixie St, Carrollton, GA 30117-3818 | |
| (770) 812-9666 | |
| Not Available |
| Full Name | Purdy Jackson |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 705 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265055669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86113132 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Purdy Jackson, 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 812-9666 | Purdy Jackson, 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 812-9666 |
Katherine S Nickless, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 157 Clinic #203, Carrollton, GA 30117 Phone: 770-832-0429 Fax: 770-838-9108 | |
Mrs. Paula Evans Hogan, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1004 Newnan Rd, Carrollton, GA 30116 Phone: 770-836-6667 Fax: 770-836-6722 | |
Mrs. Shana Holloway Sanders, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9184 Fax: 770-836-9148 | |
Ms. Shauntel Lenora Ragland, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9147 | |
Mrs. Jessica Greer Zombek, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1004 Newnan Rd, Carrollton, GA 30116 Phone: 770-836-6667 | |
Amanda Phillips Kranz, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9599 |