Individual
MRS. JESSICA CATHERINE DOCKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3747 ROSWELL RD STE 201, MARIETTA, GA 30062-6227
(470) 956-1590
(770) 971-8499
Mailing address
3747 ROSWELL RD STE 201, MARIETTA, GA 30062-6227
(470) 956-1590
(770) 971-8499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11608
GA
363A00000X
Physician Assistant
1611
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123219
—
NH
Enumeration date
04/19/2020
Last updated
09/06/2023
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