Search › Georgia › 103TC0700X
David Jaquess, PHD
NPI 1437230760 · on the registry since 2006
Practice
- Address
- 1920 Briarcliff Rd Ne
Atlanta, GA 30329 - Phone
- (404) 419-4000
- Fax
- (404) 419-4505
- Organisation at this address
- Marcus Autism Center
Premise Health Of Georgia Medical Pc
Marcus Institute For Development And Learning IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 129
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- GA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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