Individual
JAY WORMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2201 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2551
(770) 460-4747
(678) 673-5102
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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