Individual provider · Type 1 NPI

Jesse Alexander Codner, MD

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1902301799 Active

Practice location

1364 Clifton Rd NE Ste 100
Atlanta, GA 30322-1059

Mailing address

1820 Peachtree St NW Unit 811
Atlanta, GA 30309-1894

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902301799

Jesse Alexander Codner, MD's National Provider Identifier is 1902301799, issued on Mar 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 26, 2018.