Jennifer Leigh Carlquist, PAC
Physician Assistant in Austell, GA. Individual provider (NPI-1).
NPI number1306038591
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1306038591
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Leigh Carlquist
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2007
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 12028 | GA | Yes |
| 363A00000X | Physician Assistant | PA 19294 | CA |
Other names
- Jennifer Leigh Case (Former Name)
Practice location
1700 Hospital South Dr Ste 409Austell, GA 30106-8159
Phone 770-732-9100 · Fax 678-819-0359
Mailing address
1700 Hospital South Dr Ste 409Austell, GA 30106-8159
Phone 770-732-9100 · Fax 678-819-0359
Other practice locations
450 E Romie Ln
Salinas, CA 93901-4029
Salinas, CA 93901-4029
Phone 831-759-1840
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