| Jackson - Alpharetta | |
|
2655 Northwinds Pkwy Alpharetta GA 30009-2280 | |
| (678) 690-7852 | |
| (352) 274-9148 |
| Full Name | Jackson - Alpharetta |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2655 Northwinds Pkwy, Alpharetta, Georgia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson - Alpharetta 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Jackson - Alpharetta 2655 Northwinds Pkwy Alpharetta GA 30009-2280 Ph: (678) 690-7852 |
| NPI Number | 1932874815 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932874815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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