Individual
JAHZEEL PAGUNTALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1101 NOR TEC DR, CONYERS, GA 30013-5832
(678) 374-7514
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12224
GA
Other
Enumeration date
08/21/2023
Last updated
11/25/2024
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