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1043311376
JEROME A MAISLIS
JONESBORO, GA
NPI
1043311376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 002464)
Enumeration Date
2006-09-26
Last Update Date
2015-10-01
Business Address
Mr. JEROME A MAISLIS PA-C
2400 MT. ZION PARKWAY KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA 30236
Phone number: 770-603-3649
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Mailing Address
Mr. JEROME A MAISLIS PA-C
3495 PIEDMONT ROAD, NE NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone number: 404-364-7070
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