Individual
DR. JENNIFER LOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49 JESSE HILL JR DR SE, SUITE 485, ATLANTA, GA 30303-3049
(404) 686-1000
Mailing address
49 JESSE HILL JR DR SE, SUITE 485, ATLANTA, GA 30303-3049
(404) 686-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
069497
GA
207R00000X
Internal Medicine Physician
261097-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2008
Last updated
08/11/2015
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