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Individual

JENNIFER MADGE HARPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1305 HEMBREE RD, SUITE 103, ROSWELL, GA 30076-3810
(678) 762-9494
(678) 762-9496
Mailing address
1305 HEMBREE RD, SUITE 103, ROSWELL, GA 30076-3810
(678) 762-9494
(678) 762-9496

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
031014
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031014
GEORGIA MEDICAL LICENSE
GA
Enumeration date
03/19/2007
Last updated
03/07/2023
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