JERMAINE FREDERICK TAFT

MARIETTA, GA
NPI1457490534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  004054)
Enumeration Date2007-02-06
Last Update Date2019-11-06
Business Address
JERMAINE FREDERICK TAFT PA-C
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060-1169
Phone number: 770-428-4475
Mailing Address
JERMAINE FREDERICK TAFT PA-C
55 WHITCHER STREET 250
MARIETTA, GA 30060-3812
Phone number: 770-428-4475
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