Individual
JENNY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
780 CANTON RD NE STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
(770) 421-6112
Mailing address
780 CANTON RD NE STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
(770) 421-6112
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101270072
VA
2084N0400X
Neurology Physician
Primary
89268
GA
Other
Enumeration date
09/15/2011
Last updated
09/09/2021
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