Individual
DR. JESSICA MARIE OUDEKERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1792 WOODSTOCK RD STE 450, ROSWELL, GA 30075-5615
(404) 480-3311
(770) 727-8136
Mailing address
1792 WOODSTOCK RD STE 450, ROSWELL, GA 30075-5615
(478) 397-8639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR009798
GA
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR009798
GA
Other
Enumeration date
07/12/2018
Last updated
10/30/2024
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