JENNIFER MARIE MULLIS GRANT

MACON, GA
NPI1144497736
Professional NameJENNIFER MARIE GRANT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  005270)
Enumeration Date2008-05-13
Last Update Date2013-12-17
Business Address
Mrs. JENNIFER MARIE MULLIS GRANT PA
140 N CREST BLVD
MACON, GA 31210-1845
Phone number: 478-757-8335
Mailing Address
Mrs. JENNIFER MARIE MULLIS GRANT PA
1032 WARWICK DR
MACON, GA 31210-1540
Phone number: 478-731-6297