Individual
MRS. JENNIFER MILLER CAPITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Mailing address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004407
GA
363A00000X
Physician Assistant
1346
SC
Other
Enumeration date
11/21/2006
Last updated
03/07/2025
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