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Individual

HAYDEN JAGOR DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1557 JANMAR RD, SNELLVILLE, GA 30078-5686
(678) 344-8900
(678) 666-5201
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(678) 344-8900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7991
GA
363AS0400X
Surgical Physician Assistant
Primary
7991
GA
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
06/10/2016
Last updated
08/04/2023
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