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Mrs. Janice L West, PA
Medical Physician Assistant in Jasper, Georgia
NPI 1811993041

Janice L West is a Medical Physician Assistant based in Austell, GA and is specialized in Medical. Janice L West practices in Jasper, GA and has the professional credentials of PA. The NPI Number for Janice L West is 1811993041 and holds a License No. 003557 (Georgia).

The current practice location address for Janice L West is 1020 J L White Dr, Jasper, GA and can be reached out via phone at 706-692-0603 and via fax at 678-581-7109.

Location: 1020 J L White Dr, Jasper, GA, 30106-8116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811993041
Provider Name
Janice L West
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1020 J L White Dr, Jasper, GA, 30106-8116
Phone Number
706-692-0603
Fax Number
678-581-7109
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811993041 01 GA NPI
institution
Provider Business Practice Location Address Details
Address
1020 J L White Dr
City
Jasper
State
Georgia
Zip
30143-4908
Phone Number
706-692-0603
Fax Number
678-581-7109
person
Provider Business Mailing Address Details
Address
1020 J L White Dr
City
Jasper
State
Georgia
Zip
30143-4908
Phone Number
706-692-0603
Fax Number
678-581-7109
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
003557 (Georgia)
Definition
Definition to come...
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