Individual
JESSICA ANN MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6325 HOSPITAL PKWY, SUITE 111, JOHNS CREEK, GA 30097-5775
(770) 712-4616
(770) 495-1585
Mailing address
6325 HOSPITAL PKWY, SUITE 111, JOHNS CREEK, GA 30097-5775
(770) 712-4616
(770) 495-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
061494
GA
207L00000X
Anesthesiology Physician
200200737
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89132G
—
NC
Enumeration date
08/12/2006
Last updated
08/26/2008
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