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Individual

JENNIFER NICOLE GARRETT

Active
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Individual

JENNIFER NICOLE GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5543
GA
363AM0700X
Medical Physician Assistant
Primary
5543
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013157569
NPI
GA
01
5543
GA MEDICAL BOARD
GA
Enumeration date
02/24/2009
Last updated
07/30/2024
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