Mary Sonya Jackson
Contractor · Acworth, GA
Practice location
5480 Hedge Brooke Pointe NWAcworth, GA 30101-7142
- Phone
- (404) 960-5486
NPI record
- NPI
- 1922605690
- Entity type
- Individual (Type 1)
- Enumeration date
- October 6, 2020
- Last updated
- October 6, 2020
- Certified
- October 6, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
NTO15850 | GA |
| Home Modifications Contractor | 171WH0202X |
NTO15850 | — |
| Peer Specialist | 175T00000X |
— | — |
About Mary Jackson
Mary Sonya Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 5480 Hedge Brooke Pointe NW, Acworth, GA 30101-7142. The NPI number 1922605690 was assigned on October 6, 2020 and the record was last updated on October 6, 2020.
Mary Jackson lists 2 licenses in the registry: #NTO15850 (GA) for Contractor; #NTO15850 for Home Modifications Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mary Sonya Jackson?
The NPI number is 1922605690.
What is the phone number of Mary Jackson?
The phone number listed for the practice location is (404) 960-5486.
Where is Mary Jackson located?
5480 Hedge Brooke Pointe NW, Acworth, GA 30101-7142.
What is the taxonomy code for Mary Jackson?
The primary taxonomy code is 171W00000X – Contractor; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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