Individual
MRS. JENNIFER OTTENWELLER CHILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 CLIFTON RD, ATLANTA, GA 30322
(404) 785-6330
Mailing address
466 BURLINGTON RD, UNIT A, ATLANTA, GA 30307
(706) 207-6373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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