Individual
MS. JYOTHSNA S CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E PONCE DE LEON AVE, DECATUR, GA 30030-3466
(404) 501-6363
Mailing address
200 E PONCE DE LEON AVE, DECATUR, GA 30030-3466
(404) 501-6363
(404) 371-0019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6131
GA
363AM0700X
Medical Physician Assistant
6131
GA
Other
Enumeration date
07/18/2011
Last updated
05/13/2026
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