Individual
JAMIE FAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1984 PEACHTREE RD NW STE 515, ATLANTA, GA 30309-5219
(404) 351-1745
Mailing address
3390 HIGHGATE HILLS DR NE, DULUTH, GA 30097-5120
(770) 653-2735
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10726
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
07/01/2021
Last updated
07/11/2023
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