Individual provider · Type 1 NPI

Jordan Elisabeth Sublett, PA-C

Medical Physician Assistant · Decatur, GA

NPI number 1114606464 Active

Practice location

2701 N Decatur Rd
Decatur, GA 30033-5918

Call (404) 501-1000 Map

Mailing address

914 Collier Rd NW Apt 2218
Atlanta, GA 30318-2555

Other practice locations

  • 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 · (404) 501-8000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X11871 (GA)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1114606464

Jordan Elisabeth Sublett, PA-C's National Provider Identifier is 1114606464, issued on Jul 13, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, GA. The record was last updated on Sep 29, 2023.