Individual
MRS. JENNIFER M MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11650 ALPHARETTA HWY, SUITE 100, ROSWELL, GA 30076
(404) 596-5670
(770) 338-9103
Mailing address
11650 ALPHARETTA HWY SUITE 100, ROSWELL, GA 30076
(404) 596-5670
(770) 338-9103
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
006481
GA
363AS0400X
Surgical Physician Assistant
Primary
6481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20297I7272
MEDICARE PTAN
GA
Enumeration date
08/01/2012
Last updated
08/29/2018
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