Individual
JEFFREY ANTONIO BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7921 GOSSAMER DR, FAIRBURN, GA 30213-4688
(470) 631-4564
Mailing address
7921 GOSSAMER DR, FAIRBURN, GA 30213-4688
(470) 631-4564
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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