Individual
MRS. JESSICA ELIZABETH DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-2560
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-2560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7988
GA
Other
Enumeration date
06/10/2016
Last updated
10/26/2016
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