JENNIFER LEIGH CARLQUIST

AUSTELL, GA
NPI1306038591
Former NameJENNIFER LEIGH CASE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  12028)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  PA 19294)
Enumeration Date2007-08-13
Last Update Date2024-05-17
Business Address
Ms. JENNIFER LEIGH CARLQUIST PAC
1700 HOSPITAL SOUTH DR STE 409
AUSTELL, GA 30106-8159
Phone number: 770-732-9100
Mailing Address
Ms. JENNIFER LEIGH CARLQUIST PAC
1700 HOSPITAL SOUTH DR STE 409
AUSTELL, GA 30106-8159
Phone number: 770-732-9100