Organization · Type 2 NPI

Jett Surgical LLC

Surgical Physician Assistant · Marietta, GA

NPI number 1417408964 Active

Practice location

915 Randall Ct NW
Marietta, GA 30064-4724

Call (770) 842-1907 Map

Fax (678) 214-5098

Mailing address

PO Box 422252
Atlanta, GA 30342-9252

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1256 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1417408964

Jett Surgical LLC's National Provider Identifier is 1417408964, issued on Oct 19, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Dec 12, 2016.