Individual
MS. JOCELYN LORANGE-HERRON SEBESTYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 SANDERS RD, STE B, CUMMING, GA 30041-5960
(770) 781-8840
Mailing address
1740 CENTURY CIR NE, APT 1124, ATLANTA, GA 30345-3059
(203) 545-5736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6362
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153935A
—
GA
Enumeration date
02/13/2012
Last updated
01/26/2017
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