Marc Jean-Jacques

NPI 1639531379 · on the registry since 2016 · sole proprietor

Practice

Address: 4130 Wild Sonnet Trl
Peachtree Corners, GA 30092
Phone: (214) 227-2457
Fax: (214) 764-0880
Organisation at this address: Premiere Surgical Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 246ZC0007X
246ZC0007X
Also registered as: 246ZC0007X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-02-10

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