Individual
MRS. JENINE GHANI GATHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
980 JOHNSON FERRY RD, SUITE 940, ATLANTA, GA 30342-1626
(404) 851-8000
(404) 252-2736
Mailing address
980 JOHNSON FERRY RD, SUITE 940, ATLANTA, GA 30342-1626
(404) 851-8000
(404) 252-2736
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158543044A
—
GA
Enumeration date
02/13/2006
Last updated
09/26/2016
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