Individual
JEAN THELEMAQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3648 CHAMBLEE TUCKER RD, #F, ATLANTA, GA 30341-4403
(770) 493-7750
Mailing address
743 HOLMES ST NW, #H, ATLANTA, GA 30318-7684
(347) 595-5453
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
GA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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