Whalio Doctors

NPI 1265927230

Jennifer Erin Millsap, PHYSICIANSASSISTANT

Practitioner Dermatology Physician Roswell, GA

Practice location

Address
415 E Crossville Rd, Roswell, GA 30075-7626
Phone
(770) 642-4644
Fax
(478) 328-0438
Mailing address
2400 Bellevue Rd STE 21a, Dublin, GA 31021-2890

Registered specialties (2)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 7861 (GA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8836 (GA)

Registry record

NPI
1265927230
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jun 2018
Record last updated
15 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.