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Individual

JENNIFER KOLOS LAMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
55 WHITCHER ST NE, #350, MARIETTA, GA 30060-1155
(770) 424-6893
Mailing address
55 WHITCHER ST NE, #350, MARIETTA, GA 30060-1155
(770) 424-6893

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02922
NC
363A00000X
Physician Assistant
006847
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003134960A
GA
05
003134960B
GA
05
003134960C
GA
Enumeration date
06/06/2011
Last updated
08/07/2013
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