Individual
JESSICA TENCH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501-3806
(770) 219-9200
Mailing address
1439 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501-3806
(770) 219-9200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005978
GA
Other
Enumeration date
07/16/2010
Last updated
10/07/2020
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