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Individual

DR. JESSE GARRETT O'SHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., MSC

Contact information

Practice address
2665 N DECATUR RD STE 330, DECATUR, GA 30033-6145
(404) 297-9755
Mailing address
2665 N DECATUR RD STE 330, DECATUR, GA 30033-6145
(404) 297-9755

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
83453
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83453
STATE LICENSE
GA
Enumeration date
05/09/2016
Last updated
05/09/2022
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