Individual
MRS. JENNIFER LYNN DELARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
508 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 226-0125
(229) 226-0195
Mailing address
508 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 226-0125
(229) 226-0195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004582
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448826836A
—
GA
Enumeration date
09/20/2005
Last updated
07/09/2013
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