National Provider Identifier Database

CHARMEKA JACKSON
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

CHARMEKA JACKSON
3427 DODSON TERRACE
EAST POINT, GA30344
Phone: 470-344-9447
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for CHARMEKA JACKSON

NPI Number 1841964863
Credentials
Entity Individual
Enumeration date 08/03/2021
Last updated 08/03/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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