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Individual

JAIEL LOCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1150 HAMMOND DR STE 310, ATLANTA, GA 30328-7500
(678) 802-5780
(770) 557-3568
Mailing address
4300 N POINT PKWY STE 300, ALPHARETTA, GA 30022-4102
(770) 442-1911

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12856
GA

Other

Enumeration date
07/24/2023
Last updated
09/08/2025
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