Individual
JESSICA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT (R)
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
70 PERIMETER CTR E APT 1438, ATLANTA, GA 30346-1828
(706) 618-0106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
576116
GA
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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