Jennifer B. Sissom, PA

NPI #1063488708 in Snellville, Georgia

Provider Information

NPI Number: 1063488708
Entity Type: Individual
Name: Jennifer B. Sissom, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 23, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 2383 PATE ST N
City: Snellville
State: Georgia
ZIP Code: 30078-3250
Phone: (770) 972-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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