MR. VINCENT PAUL JACKSON


Address: 4950 Glaze Dr, Atlanta, GA 30360-1702
Phone: 7709906821

MR. VINCENT PAUL JACKSON (NPI# 1033471669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033471669
Entity Type Individual
Full Name MR. VINCENT PAUL JACKSON
Credential RT(R)
Practice Address 4950 Glaze Dr
Atlanta
GA 30360-1702
Practice Telephone 7709906821
Mailing Telephone 7709906821
Enumeration Date 2012-06-11
Last Update Date 2012-06-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 394412 MN Technologists, Technicians & Other Technical Service Providers

Other Providers VINCENT JACKSON

NPI Name Taxonomy Address Enumeration
1801202635 Vincent Maurice Jackson Sr. Behavioral Analyst 875 Mass Ave Unit 205, Indianapolis, IN 46204-1652 2014-07-01
1255332003 Vincent A Jackson Nurse Anesthetist, Certified Registered 3601 Tvc, Nashville, TN 37232-0001 2005-08-02
1710985783 Vincent Eugene Jackson Pharmacist 100 Hospital Rd, Pharmacy Department, Prince Frederick, MD 20678-4017 2005-07-13

Office Location

Street Address 4950 GLAZE DR
City ATLANTA
State GA
Zip Code 30360-1702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811162068 Foam Labs Inc Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2745 Bankers Industrial Drive, Atlanta, GA 30360 2008-04-29
1669666376 Christine Hunt Case Manager/Care Coordinator 2928 Aspen Woods Entry, Doraville, GA 30360 2007-09-05
1609937986 Scott Alan Ackerman Chiropractor 5025-h Winters Chapel Road, Atlanta, GA 30360 2006-12-12
1841389723 Mike Greenberg Chiropractor 6035 Peachtree Rd Ste C209, Doraville, GA 30360 2006-10-11
1336124304 Emanuel Joseph Preventive Medicine 3900 Motors Industrial Way, Mcd Doraville, Doraville, GA 30360 2005-12-13
1528436367 Bioconfirm Laboratories LLC Clinical Medical Laboratory 6755 Peachtree Industrial Blvd, Suite 150, Doraville, GA 30360 2015-09-10
1285744722 Frank Jefferson Cook Jr. Internal Medicine 4535 Winters Chapel Rd, Atlanta, GA 30360 2006-08-30
1346897725 Mackenzie Warren Registered Nurse 2753 Fleur De Lis Way, Atlanta, GA 30360-1203 2019-08-21
1477973238 Rebecca Lamont Behavioral Analyst 5350 Dunwoody Club Crk, Atlanta, GA 30360-1362 2014-04-21
1396205316 David Moshe Yashar Student in an Organized Health Care Education/Training Program 5381 Dunwoody Club Crk, Atlanta, GA 30360-1363 2019-03-25
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750520482 Alicia Fair-jemison Radiologic Technologist 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 2009-02-20
1184888497 John Douglas Edwards Jr. Radiologic Technologist 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 2008-07-16
1346371531 Independent Diagnostic Services Radiologic Technologist 550 Peachtree Street, Suite 1760, Atlanta, GA 30308 2007-03-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801281100 On-site Imaging Solutions LLC Radiologic Technologist 10755 Brunson Dr, Johns Creek, GA 30097-8465 2015-04-02
1013318948 Patti Catlett Radiologic Technologist 3060 Cypress Cv, Ball Ground, GA 30107-2675 2014-09-10
1184870115 David Anthony Hardwick Radiologic Technologist 3198 Trinity Mill Cir, Dacula, GA 30019-1036 2008-08-11
1154584555 Kathy C Isley Radiologic Technologist Lockheed Martin Aeronautics Co, 86 South Cobb Drive, Dept Re2m, Zone 0454, Marietta, GA 30063-0001 2008-07-07
1639298276 Brian L Jones Radiologic Technologist 203 Pineywood Rd, Griffin, GA 30224-4964 2007-03-28
1346255080 Open Mri of Milledgeville LLC Radiologic Technologist 1850 North Columbia Street, Suite 3, Milledgeville, GA 31061-7113 2006-07-30
1134151079 Tina Marie Sapp Radiologic Technologist 1401 Tift Ave N, Tifton, GA 31794-3585 2006-07-07
1265421614 Greene David Mock Radiologic Technologist 34 Diana Dr, Savannah, GA 31406-7510 2005-10-18
1750908927 Cassidy Davis Radiologic Technologist 501 Redmond Rd Nw, Rome, GA 30165-1415 2020-07-02
1245852805 Cristina Royce Radiologic Technologist 35 Hospital Rd, Blairsville, GA 30512-3139 2020-05-17
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Competitor

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City ATLANTA
Zip Code 30360

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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