Individual
JIANMEI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
PO BOX 117535, ATLANTA, GA 30368-7535
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
5402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914942853A
—
GA
05
—
914942853C
—
GA
Enumeration date
07/09/2008
Last updated
07/12/2021
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