Athena Jacoway

NPI 1376905117 · on the registry since 2016 · sole proprietor

Practice

Address: 2258 Northlake Pkwy
390
Tucker, GA 30084
Phone: (678) 754-3507
Organisation at this address: Denture Place Llc
Metro Dental @ Northlake
Browns Medical Center Llc
Paradigm Prosthodontics And Consulting, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1744P3200X
1744P3200X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-22

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