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Individual

MRS. JENNIFER RENEE LAING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C AA-C

Contact information

Practice address
1364 CLIFTON RD NE, B349A, ATLANTA, GA 30322-1059
(404) 778-5409
(404) 778-5194
Mailing address
13208 JEFFERSON CIR N, CHAMBLEE, GA 30341-2678
(678) 860-9229

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
003952
GA
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
06/25/2008
Last updated
01/10/2022
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