Individual
JENNIFER M NOTARIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342-1705
(404) 355-0743
(404) 355-0743
Mailing address
2001 PEACHTREE RD NE, SUITE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2019-023
WI
363AM0700X
Medical Physician Assistant
2019-023
WI
363AS0400X
Surgical Physician Assistant
Primary
006689
GA
363AS0400X
Surgical Physician Assistant
2019-023
WI
Other
Enumeration date
07/11/2006
Last updated
02/20/2013
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