Individual
MS. WENDY KAE JETTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
915 RANDALL CT NW, MARIETTA, GA 30064-4724
(770) 842-1907
(678) 214-5098
Mailing address
915 RANDALL CT NW, MARIETTA, GA 30064-4724
(770) 842-1907
(678) 214-5098
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1256
GA
Other
Enumeration date
10/12/2007
Last updated
11/13/2016
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