Jahr, Mary B.

Jahr, Mary B. is an individual health care provider with primary practice located at 3911 Mary Eliza Trce Nw Suite 200, Marietta GA 30064-1086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jahr, Mary B. can be contacted via phone (678) 384-3480.

Contact Information

Primary practice address
3911 Mary Eliza Trce Nw Suite 200 Marietta GA 30064-1086
Fax: (678) 384-3481
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 138345 Georgia

Profile Details

NPI number 1720136476
LBN Legal business name Jahr, Mary B.
Credentials CPNP-PC, PMHS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Feb 1st, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720136476 NPPES
Georgia MEDICAID 00978436D

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