Massey, Jennifer

Massey, Jennifer is an individual health care provider with primary practice located at 1245 Augusta West Pkwy , Augusta GA 30909-1807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Massey, Jennifer can be contacted via phone (706) 868-0389.

Contact Information

Primary practice address
1245 Augusta West Pkwy Augusta GA 30909-1807
Phone: (706) 868-0389
Fax: (706) 651-0729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 053280 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 053280 Georgia

Profile Details

NPI number 1114988144
LBN Legal business name Massey, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Sep 30th, 2019 - about 5 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 1114988144 NPPES
Georgia MEDICAID 226318111A

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