Individual
JARED AVERY ECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 616-1000
Mailing address
784 PENN AVE NE APT 2, ATLANTA, GA 30308-1549
(917) 806-2393
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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