Individual
MRS. JESSICA MCAFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1255 HWY 54 WEST, FAYETTEVILLE, GA 30214
(770) 716-0051
(770) 716-0087
Mailing address
1267 HIGHWAY 54 W, SUITE 2200, FAYETTEVILLE, GA 30214-2114
(770) 716-0051
(770) 716-0087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004645
GA
363AM0700X
Medical Physician Assistant
Primary
004645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120547A
—
GA
Enumeration date
05/25/2006
Last updated
02/13/2012
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