Individual
JENISSA DAWN CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 785-5247
Mailing address
5285 HOPGOOD RD, ACWORTH, GA 30102-2427
(912) 577-8510
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
10/29/2024
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