Individual
ALICIA KATHERINE JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
793 SAWYER RD, MARIETTA, GA 30062-2222
(470) 644-0100
Mailing address
207 TOWERING PEAKS, CANTON, GA 30114-5709
(313) 300-7529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN271254
GA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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