Individual
DR. JESSICA KATHLEEN FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, 7TH FL, MOT, ATLANTA, GA 30308-2208
(404) 686-5885
Mailing address
550 PEACHTREE ST NE, 7TH FL, MOT, ATLANTA, GA 30308-2208
(404) 686-5885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.089881
OH
207RI0200X
Infectious Disease Physician
Primary
35.089881
OH
208000000X
Pediatrics Physician
35.089881
OH
Other
Enumeration date
01/19/2008
Last updated
10/09/2015
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