Provider Demographics
NPI:1578717161
Name:JACKSON SOLUTIONS
Entity Type:Organization
Organization Name:JACKSON SOLUTIONS
Other - Org Name:LEGAL EAGLE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:DELORES
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MA
Authorized Official - Phone:770-879-4649
Mailing Address - Street 1:1487 KELLEYS CLOSE
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-3832
Mailing Address - Country:US
Mailing Address - Phone:770-879-4649
Mailing Address - Fax:
Practice Address - Street 1:1487 KELLEYS CLOSE
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-3832
Practice Address - Country:US
Practice Address - Phone:770-879-4649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-09
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA05136444347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle