| Justin M Jackson, MD | |
|
1455 Montreal Rd, Tucker, GA 30084-8100 | |
| (404) 251-3000 | |
| Not Available |
| Full Name | Justin M Jackson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1455 Montreal Rd, Tucker, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417216375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 76288 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin M Jackson, MD 6325 Hospital Parkway, Johns Creek, GA 30097 Ph: (678) 474-7000 | Justin M Jackson, MD 1455 Montreal Rd, Tucker, GA 30084-8100 Ph: (404) 251-3000 |
Efosa Omonuwa Ogiamien, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1370 Montreal Rd Ste 130, Tucker, GA 30084 Phone: 601-613-8250 | |
Aditya Marwaha, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1455 Montreal Rd, Tucker, GA 30084 Phone: 404-778-8413 | |
Pritika Bhatia, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2706 Henderson Chase Ct, Tucker, GA 30084 Phone: 404-234-4275 |