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Contact Information

KIRA JACKSON
1055 HOWELL MILL RD
STE 8082 PMB 1050
ATLANTA, GA30318
 Phone: 478-336-6169
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for KIRA JACKSON · (Female)

NPI Number 1407533532
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2023
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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