Individual provider · Type 1 NPI

Jennifer Ann Georgia, P.A.

Medical Physician Assistant · West Bloomfield, MI

NPI number 1841580180 Active

Practice location

2300 Haggerty Rd, Ste 1110
West Bloomfield, MI 48323

Call (248) 669-2000 Map

Fax (248) 669-2110

Other practice locations

  • 30575 Woodward Ave, Royal Oak, MI 48073-0980 · (248) 280-8550
  • 45816 Schoenherr Rd, Shelby Township, MI 48315-6028 · (586) 842-2400

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X5601007054 (MI)
Medical Physician Assistant Primary 363AM0700X5601007054 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1841580180

Jennifer Ann Georgia, P.A.'s National Provider Identifier is 1841580180, issued on Apr 7, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Bloomfield, MI. The record was last updated on Apr 21, 2026.