Search › Georgia › 111NR0400X
Jessica Oudekerk, DC
NPI 1235615386 · on the registry since 2018
Practice
- Address
- 1792 Woodstock Rd Ste 450
Roswell, GA 30075 - Phone
- (404) 480-3311
- Fax
- (770) 727-8136
- Organisation at this address
- Metamorphosis Medical Group
Atlanta Spine And Wellness - Roswell LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 5070 Peachtree Blvd Ste E170, Chamblee, GA
Registry record
- Primary taxonomy
- 111NR0400X
111NR0400X
- Also registered as
- 111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-30
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