Individual
MS. JENNY H THAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2052 HOSEA L WILLIAMS DR NE, ATLANTA, GA 30317-2502
(404) 607-1002
(404) 607-1031
Mailing address
2052 HOSEA L WILLIAMS DR NE, ATLANTA, GA 30317-2502
(404) 607-1002
(404) 607-1031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5594
GA
Other
Enumeration date
10/06/2009
Last updated
03/29/2010
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