Individual
JESSICA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1235 INDIAN TRAIL RD, NORCROSS, GA 30093-5524
(770) 931-1333
Mailing address
3450 BLAIR CIR NE, BROOKHAVEN, GA 30319-2241
(478) 302-1319
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11064
GA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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