Individual provider · Type 1 NPI

John C. Jaques, P.A.

Medical Physician Assistant · Gainesville, GA

NPI number 1073581435 Active

Practice location

2335 Limestone Overlook
Gainesville, GA 30501-7443

Fax (770) 297-7564

Mailing address

3525 Piedmont Road NE, #7-601
Atlanta, GA 30305-7041

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001966 (GA)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1073581435

John C. Jaques, P.A.'s National Provider Identifier is 1073581435, issued on Mar 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, GA. The record was last updated on Jan 26, 2012.