Individual
JESSICA GUADAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1365 CLIFTON RD NE BLDG C, ATLANTA, GA 30322-1013
(404) 778-1900
Mailing address
1007 BRIARVISTA WAY NE, ATLANTA, GA 30329-3628
(828) 577-0156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008749
GA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
8749
GA
Other
Enumeration date
01/20/2018
Last updated
08/18/2021
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