Athena Jacoway
Athena Jacoway is a Prosthetics Case Management in Tucker, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2016
Practice location Address checks out
2258 Northlake Pkwy 390Tucker, GA 30084-4019
Phone: (678) 754-3507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X · Licence CO078139 (GA) |
|---|
Record details
| NPI number | 1376905117 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2016 |
| Last updated in NPPES | March 22, 2016 |
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