Individual
JENNELLE NOREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1469 LANEY WALKER BLVD, AUGUSTA, GA 30912-2291
(706) 721-2423
Mailing address
1120 15TH ST # BI5070, AUGUSTA, GA 30912-1419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17538
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2025
Last updated
07/08/2025
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