# JEREMY KENT WU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508496845
- **Gender:** Man
- **Credential:** CERTIFIED PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 12810 | GA | Yes |
| 363AS0400X | Surgical Physician Assistant | 4084 | SC | — |
| 363AS0400X | Surgical Physician Assistant | 50.006024 | OH | — |
| 363AS0400X | Surgical Physician Assistant | PA2032 | ME | — |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/13/2025