Individual
JARROD WOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 VERNON GLEN CT, ATLANTA, GA 30338-5421
(678) 740-4403
Mailing address
25 VERNON GLEN CT, ATLANTA, GA 30338-5421
(678) 740-4403
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN300772
GA
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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