Individual
JENNY LYNN USHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 330, ATLANTA, GA 30342-1731
(404) 459-0002
(404) 459-0003
Mailing address
PO BOX 935544, ATLANTA, GA 31193-5552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2801
GA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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