Individual
DR. JANNIE IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7775 MCGINNIS FERRY RD STE 107, JOHNS CREEK, GA 30024-4962
(678) 860-1075
Mailing address
7775 MCGINNIS FERRY RD STE 107, JOHNS CREEK, GA 30024-4962
(678) 860-1075
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7625
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014912
GA
Other
Enumeration date
11/13/2006
Last updated
02/09/2025
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