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Individual

JESSICA LYNN VISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
079324
GA
207Q00000X
Family Medicine Physician
ME127657
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
ME127657
FL
208M00000X
Hospitalist Physician
Primary
MD215597
OR

Other

Enumeration date
03/19/2013
Last updated
08/07/2023
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