Jackie Joe Alston Jr., CSA
Specialist/Technologist, Other, Surgical Assistant in Nashville, TN. Individual provider (NPI-1).
NPI number1437454824
StatusActive
Last updated in NPPESApr 28, 2023
Details
- NPI
- 1437454824
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jackie Joe Alston Jr.
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2011
- Certification date
- Apr 28, 2023
- Last updated
- Apr 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 64 | TN | Yes |
Other names
- Joey Alston (Other Name)
Practice location
2000 Glen Echo Rd Ste 111Nashville, TN 37215-2857
Phone 615-657-4805
Mailing address
Po Box 936535Atlanta, GA 31193-6535
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