Individual
JENNIFER NICOLE DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1114 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 278-0138
(706) 278-0347
Mailing address
1114 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 278-0138
(706) 278-0347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006427
GA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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