Individual
MRS. JASMINE THARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 EAGLES WALK, STOCKBRIDGE, GA 30281-7208
(470) 782-2770
Mailing address
1290 ETHANS WAY, MCDONOUGH, GA 30252-8575
(470) 782-2770
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
12/27/2022
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