Individual
JASMARA DAWN SURAJH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 PEACHFORD RD, ATLANTA, GA 30338-6520
(678) 615-7032
Mailing address
3192 LANDINGVIEW CT, LILBURN, GA 30047-1402
(678) 451-2688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN188464
GA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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