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Diane Jensen, MD

NPI 1134156086 · on the registry since 2006 · sole proprietor

Practice

Address
4630 Gateside Ln Se
Marietta, GA 30067
Phone
(770) 984-0949

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia