Individual
JAMIE KIEVIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, DAVIS FISCHER BUILDING, OFFICE 3245A, ATLANTA, GA 30308-2208
(404) 686-7858
Mailing address
550 PEACHTREE ST NE, DAVIS FISCHER BUILDING, OFFICE 3245A, ATLANTA, GA 30308-2208
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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