Jacoway, Athena
Jacoway, Athena is an sole proprietor health care provider with primary practice located at 2258 Northlake Pkwy 390, Tucker GA 30084-4019. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Jacoway, Athena can be contacted via phone (678) 754-3507.Contact Information
Primary practice address
2258 Northlake Pkwy 390
Tucker GA 30084-4019
Phone: (678) 754-3507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | CO078139 | Georgia |
Profile Details
| NPI number | 1376905117 |
|---|---|
| LBN Legal business name | Jacoway, Athena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2016 |
| Last updated | Mar 22nd, 2016 - about 8 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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