Individual
JESSICA WEGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
5205 FREDERICK ST STE A, SAVANNAH, GA 31405-4520
(912) 303-6678
(912) 355-3066
Mailing address
PO BOX 16957, SAVANNAH, GA 31416-3657
(912) 303-6678
(912) 355-3066
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
149391
GA
363AS0400X
Surgical Physician Assistant
Primary
—
GA
Other
Enumeration date
06/11/2014
Last updated
03/09/2015
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