person
Athena Jacoway
Prosthetics Case Management in Tucker, Georgia
NPI 1376905117

Athena Jacoway is a Prosthetics Case Management based in Conyers, GA and is specialized in Prosthetics Case Management. Athena Jacoway practices in Tucker, GA. The NPI Number for Athena Jacoway is 1376905117 and holds a License No. CO078139 (Georgia).

The current practice location address for Athena Jacoway is 2258 Northlake Pkwy, Tucker, GA and can be reached out via phone at 678-754-3507.

Location: 2258 Northlake Pkwy, Tucker, GA, 30013-6300
person
Provider Profile Details
NPI Number
1376905117
Provider Name
Athena Jacoway
Credential
Provider Entity Type
Individual
Gender
Female
Address
2258 Northlake Pkwy, Tucker, GA, 30013-6300
Phone Number
678-754-3507
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2258 Northlake Pkwy
City
State
Zip
30084-4019
Phone Number
678-754-3507
Fax Number
person
Provider Business Mailing Address Details
Address
2258 Northlake Pkwy
City
State
Zip
30084-4019
Phone Number
678-754-3507
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
CO078139 (Georgia)
Definition
Definition to come...
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