Individual
JESSICA N DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
Mailing address
503 STREAMSIDE PL, CANTON, GA 30115-8910
(317) 560-0096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00000000
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176845
NBSTSA
—
Enumeration date
05/19/2025
Last updated
05/19/2025
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