Individual
JENNIFER MITCHELL TUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAA
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
Mailing address
531 ROSELANE ST NW STE 830, MARIETTA, GA 30060-6979
(770) 794-0477
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
4662
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655512140G
—
GA
Enumeration date
09/23/2005
Last updated
03/21/2022
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