Georgia, Jennifer Ann

Georgia, Jennifer Ann is an individual health care provider with primary practice located at 2300 Haggerty Rd Ste 1110, West Bloomfield MI 48323. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Georgia, Jennifer Ann can be contacted via phone (248) 669-2000.

Contact Information

Primary practice address
2300 Haggerty Rd Ste 1110 West Bloomfield MI 48323
Phone: (248) 669-2000
Fax: (248) 669-2110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601007054 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601007054 Michigan

Profile Details

NPI number 1841580180
LBN Legal business name Georgia, Jennifer Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Aug 29th, 2014 - about 11 years 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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