Individual
JIA SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
7710 MCGINNIS FERRY RD, SUWANEE, GA 30024-1622
(770) 268-4361
(470) 251-6068
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN261604
GA
Other
Enumeration date
10/09/2023
Last updated
01/14/2025
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