Individual
JENNIFER LINDELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1670 CLAIRMONT RD, SURGERY SECTION-UROLOGY, DECATUR, GA 30033-4004
(404) 728-4121
Mailing address
1380 POND SPRINGS TRCE SW, LILBURN, GA 30047-1993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229672018A
—
GA
Enumeration date
06/29/2006
Last updated
05/19/2015
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