Individual
JENNIFER KHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1465
(404) 352-2020
Mailing address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1465
(404) 352-2020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10023
GA
Other
Enumeration date
11/01/2020
Last updated
11/15/2022
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