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Search › Georgia › Sports Medicine (Family Medicine) Physician

Jaeson Courseault

NPI 1609137140 · on the registry since 2012 · sole proprietor

Practice

Address
3939 Lavista Rd
Ste. E274
Atlanta, GA 30345
Phone
(404) 500-7224

Registry record

Primary taxonomy
Sports Medicine (Family Medicine) Physician
207QS0010X
Also registered as
Sports Medicine (Family Medicine) Physician
Licence states on file
TX, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-13

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