Individual
MISS JENNIFER SAMANTHA ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
100 WOODRUFF CIRCLE, SUITE P375, ATLANTA, GA 30022
(404) 727-5655
(404) 727-0045
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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