Individual
MRS. JENNIFER BLUE AVALIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE 525, ATLANTA, GA 30309
(404) 351-7546
(678) 540-0100
Mailing address
2045 PEACHTREE RD NE STE 200, ATLANTA, GA 30309-1497
(404) 351-7546
(404) 351-2993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3794
GA
Other
Enumeration date
06/08/2006
Last updated
04/30/2020
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