Individual
MRS. JANICE L WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1020 J L WHITE DR, SUITE 160, JASPER, GA 30143-4908
(706) 692-0603
(678) 581-7109
Mailing address
1700 HOSPITAL SOUTH DR, STE 300, AUSTELL, GA 30106-8116
(770) 944-2830
(678) 581-7170
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811993041
NPI
GA
Enumeration date
06/22/2005
Last updated
02/03/2014
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