Individual
DR. JENNIE E AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2900 DELK RD SE, SUITE 1450, MARIETTA, GA 30067-5320
(678) 502-5604
Mailing address
2900 DELK RD SE, SUITE 1450, MARIETTA, GA 30067-5320
(678) 502-5604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014284
GA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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