Individual
JENNIFER KELLY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5700
(770) 219-9000
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1877
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
91283
GA
207RX0202X
Medical Oncology Physician
Primary
91283
GA
Other
Enumeration date
04/17/2015
Last updated
07/29/2022
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