Individual
JAZMYNE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MORELAND AVE NE STE A, ATLANTA, GA 30307-2660
(404) 329-0411
Mailing address
1045 OLD PEACHTREE RD NW APT 3210, SUWANEE, GA 30024-5075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN123579
CO
1223G0001X
General Practice Dentistry
Primary
DN123579
GA
Other
Enumeration date
09/25/2024
Last updated
03/17/2026
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