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Individual

MRS. JENNIFER M MORRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

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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