Individual
JESSE ALEXANDER CODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE STE 100, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1820 PEACHTREE ST NW UNIT 811, ATLANTA, GA 30309-1894
(404) 713-0072
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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