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Individual

DR. JASMINE GRACE JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3825 MEDICAL PARK DR, SUITE 300, AUSTELL, GA 30106-1109
(770) 941-4810
(770) 948-9149
Mailing address
3825 MEDICAL PARK DR, SUITE300, AUSTELL, GA 30106-1109
(770) 941-4810
(770) 948-9149

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39136
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00616041J
GA
Enumeration date
08/24/2005
Last updated
07/16/2007
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