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Individual

JARROD ROBERT LUTTJOHANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(678) 207-4000
(770) 531-2435
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6656
GA
363AS0400X
Surgical Physician Assistant
Primary
6656
GA

Other

Enumeration date
05/29/2014
Last updated
05/01/2023
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