Individual
JESSICA BRISCAR QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2537 CEDARCREST RD STE 305-14, ACWORTH, GA 30101-8900
(470) 336-8190
(770) 336-6620
Mailing address
2537 CEDARCREST RD STE 305-14, ACWORTH, GA 30101-8900
(470) 336-8190
(770) 336-6620
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
07/03/2023
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