Individual
JENNIFER MICHELLE OLSHANSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
57 EXECUTIVE PARK S, ATLANTA, GA 30329-2288
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
32698351
GA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
32698351
GA
367H00000X
Anesthesiologist Assistant
Primary
11363
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2022
Last updated
04/15/2024
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