Individual
MRS. JENNA MARIE TKACSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 160, CANTON, GA 30115-8029
(770) 721-9050
(770) 721-9051
Mailing address
470 NORTHSIDE CHEROKEE BLVD STE 160, CANTON, GA 30115-8029
(770) 721-9050
(770) 721-9051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12938
GA
Other
Enumeration date
07/21/2023
Last updated
03/07/2025
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