Individual provider · Type 1 NPI

Athena Jacoway

Prosthetics Case Management · Tucker, GA

NPI number 1376905117 Active

Practice location

2258 Northlake Pkwy, 390
Tucker, GA 30084-4019

Call (678) 754-3507 Map

Mailing address

1631 Brentwood Xing SE
Conyers, GA 30013-6300

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management Primary 1744P3200XCO078139 (GA)

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1376905117

Athena Jacoway's National Provider Identifier is 1376905117, issued on Mar 22, 2016. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Tucker, GA. The record was last updated on Mar 22, 2016.