Individual
JENNIFER O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008697
GA
Other
Enumeration date
01/04/2018
Last updated
10/24/2018
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