Individual
MS. JENAVIEVE AVERYL RUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MARKET PLACE BLVD STE 200, CARTERSVILLE, GA 30121-8716
(770) 386-7253
(770) 382-6424
Mailing address
531 ROSELANE ST NW STE 710, MARIETTA, GA 30060-6975
(678) 331-3297
(678) 581-7187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008761
GA
363AM0700X
Medical Physician Assistant
008761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326408147
NPI NUMBER
GA
Enumeration date
03/07/2016
Last updated
04/05/2022
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