Carlquist, Jennifer Leigh

Carlquist, Jennifer Leigh is an individual health care provider with primary practice located at 1700 Hospital South Dr Ste 409 , Austell GA 30106-8159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carlquist, Jennifer Leigh can be contacted via phone (770) 732-9100.

Contact Information

Primary practice address
1700 Hospital South Dr Ste 409 Austell GA 30106-8159
Phone: (770) 732-9100
Fax: (678) 819-0359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 19294 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12028 Georgia

Profile Details

NPI number 1306038591
LBN Legal business name Carlquist, Jennifer Leigh
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated May 17th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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