Individual
DR. JENNIFER N VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1810 MULKEY RD, SUITE 201, AUSTELL, GA 30106-1151
(404) 316-6269
Mailing address
1810 MULKEY RD, SUITE 201, AUSTELL, GA 30106-1151
(404) 316-6269
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
058830
GA
208000000X
Pediatrics Physician
Primary
18618
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06936300
—
MS
Enumeration date
09/15/2006
Last updated
12/18/2007
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