MRS. Jessica Lynn Pederson

NPI #1679107973 in Decatur, Georgia

Provider Information

NPI Number: 1679107973
Entity Type: Individual
Name: MRS. Jessica Lynn Pederson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: Feb 25, 2020
Last Updated: Feb 25, 2020

Practice Location

Address: 160 CLAIREMONT AVE STE 625
City: Decatur
State: Georgia
ZIP Code: 30030-2541
Phone: (678) 954-5721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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