Individual
JAIME LYNN BUCKELEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
800 KENNESAW AVE NW STE 120, MARIETTA, GA 30060-1052
(678) 556-5138
(770) 336-6620
Mailing address
800 KENNESAW AVE NW STE 120, MARIETTA, GA 30060-1052
(678) 556-5138
(770) 336-6620
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
164724
GA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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