National Provider Identifier Database

JACQUELINE P ANDERSON, R.T.(R) – NPI #1962352898
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

JACQUELINE P ANDERSON, R.T.(R)
2306 WISTERIA DR STE 240
SNELLVILLE, GA30078-3563
Phone: 404-847-4129
Fax: 678-344-4947
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for JACQUELINE P ANDERSON

NPI Number 1962352898
Credentials R.T.(R)
Entity Individual
Enumeration date 01/30/2026
Last updated 01/30/2026 - About 4 months ago
Sole proprietor1 No
Identifiers
  • GA License #: 350708
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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