Individual
MRS. JENNIFER ERIN MILLSAP
Active
Individual
MRS. JENNIFER ERIN MILLSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIANS ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7861
GA
363A00000X
Physician Assistant
8836
GA
Other
Enumeration date
06/22/2018
Last updated
06/15/2020
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