JACQUELYN HUDAK BRANTLY

ATLANTA, GA
NPI1720329154
Former NameJACQUELYN NICOLE HUDAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  006743)
Enumeration Date2013-03-11
Last Update Date2013-03-11
Business Address
-- JACQUELYN HUDAK BRANTLY MMSc
235 PEACHTREE ST NE NORTH TOWER, SUITE 2100
ATLANTA, GA 30303-1401
Phone number: 770-994-9326
Mailing Address
-- JACQUELYN HUDAK BRANTLY MMSc
3112 ALSTON DR
DECATUR, GA 30032-3301
Phone number: 770-833-8386
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