Athena Jacoway

NPI #1376905117 in Tucker, Georgia

Provider Information

NPI Number
1376905117
Entity Type
Individual
Name
Athena Jacoway
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Mar 22, 2016
Last Updated
Mar 22, 2016

Practice Location

Address
2258 NORTHLAKE PKWY
Address 2
390
City
Tucker
State
Georgia
ZIP Code
30084-4019
Phone
(678) 754-3507

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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