Individual
MISS JESSICA LEIGH WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7580 SPRINGBOX DR, SUITE 250, FAIRBURN, GA 30213-1287
(770) 892-4133
(770) 774-7218
Mailing address
7580 SPRINGBOX DR, SUITE 250, FAIRBURN, GA 30213-1287
(770) 892-4133
(770) 774-7218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007253
GA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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