MR. VINCENT PAUL JACKSON RT(R) NPI 1033471669

NPI Information

  • NPI: 1033471669
  • Provider Name: MR. VINCENT PAUL JACKSON, RT(R)
  • Classification: Radiologic Technologist - 247100000X
  • Entity Type: Individual
  • Address: 4950 GLAZE DR
    ATLANTA, GA
    ZIP 30360
  • Phone: (770) 990-6821

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NPI Details

MR. Vincent Paul Jackson, RT(R) is a radiologic technologist in Atlanta, GA. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. MR. Vincent Paul Jackson, RT(R) NPI is 1033471669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4950 GLAZE DR
ATLANTA, GA
ZIP 30360-702
Phone: (770) 990-6821

The enumeration date for this NPI number is 6/11/2012 and was last updated on 6/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247100000XRadiologic Technologist394412MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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