Jennifer Nicole Garrett, PA-C
Physician Assistant, Medical in Austell, GA. Individual provider (NPI-1).
NPI number1013157569
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1013157569
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Nicole Garrett
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2009
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5543 | GA | Yes |
| 207Q00000X | Family Medicine | 5543 | GA |
Practice location
3825 Medical Park Dr Ste 301Austell, GA 30106-6818
Phone 770-874-0692
Mailing address
3825 Medical Park Dr Ste 301Austell, GA 30106-6818
Phone 770-874-0692
Other practice locations
1250 Upper Hembree Rd Ste B
Roswell, GA 30076-4651
Roswell, GA 30076-4651
Phone 770-558-2873 · Fax 888-832-7996
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