Individual
MS. JESSI M PRAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L, OTC
Contact information
Practice address
1791 ROCKLAND DR SE, ATLANTA, GA 30316-2239
(404) 406-9446
Mailing address
1791 ROCKLAND DR SE, ATLANTA, GA 30316-2239
(404) 406-9446
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
AT001300
GA
246ZS0410X
Surgical Technologist
Primary
07-0825
GA
Other
Enumeration date
07/10/2006
Last updated
01/18/2010
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