Individual
MR. GREGORY JARRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214-2110
(770) 716-0051
Mailing address
251 SADDLE CHASE DR, BREMEN, GA 30110-5411
(904) 263-6821
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
RN219668
GA
363L00000X
Nurse Practitioner
Primary
RN219668
GA
Other
Enumeration date
01/13/2019
Last updated
10/03/2024
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