MEDICARE: ANNE MARIE JACKSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT004476	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT004476	OTHER	GA	STATE LISC NUMBER

General Provider Information

NPI Number	:	1134208929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MARIE JACKSON PT

Provider Business Mailing Address
First Line	:	264 CLARIDGE CURV
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-2627
Country	:	US
Telephone Number	:	678-545-0951
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 SHAKERAG HL
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-6511
Country	:	US
Telephone Number	:	770-487-0760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1124223284 — EXCELCARE HEALTH SERVICES
Practice Location Address:

3200 SHAKERAG HL , SUITE B
PEACHTREE CITY, GA
30269-6511

Practice Phone: 678-902-0200
Practice Fax: 678-902-0201

1558310532 — KEVIN C JULIAN DC
Practice Location Address:

318 SIP AVE
JERSEY CITY, NJ
07306-6511

Practice Phone: 201-333-7395
Practice Fax: 201-333-6746

1669426946 — VONDA B GARDNER MSW, LCSW
Practice Location Address:

743 COCKLE ST
SURF CITY, NC
28445-6511

Practice Phone: 910-231-1986
Practice Fax:

1275787723 — MS. STEPHANIE B KAPLAN L.AC., DIPL. AC.
Practice Location Address:

3110 ARENDELL ST , SUITE 5
MOREHEAD CITY, NC
28557-6511

Practice Phone: 252-726-1100
Practice Fax:

1528290152 — MRS. SHANNON O'CONNOR MSW, LCSW, LCAS
Practice Location Address:

3110 ARENDELL ST , SUITE # 4
MOREHEAD CITY, NC
28557-6511

Practice Phone: 252-727-5488
Practice Fax:

1407150964 — MRS. KRYSTAL LEIGH MURPHY LCAS, MA
Practice Location Address:

3110 ARENDELL ST , SUITE 4
MOREHEAD CITY, NC
28557-6511

Practice Phone: 252-727-5488
Practice Fax: 252-727-5302

Directions to “ ANNE MARIE JACKSON PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.