Individual provider · Type 1 NPI

Wendy Kae Jetton, CSA

Surgical Physician Assistant · Marietta, GA

NPI number 1467640649 Active

Practice location

915 Randall Ct NW
Marietta, GA 30064-4724

Call (770) 842-1907 Map

Fax (678) 214-5098

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1256 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1467640649

Wendy Kae Jetton, CSA's National Provider Identifier is 1467640649, issued on Oct 12, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Nov 13, 2016.