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Search › Georgia › 363A00000X

Jessica Baum, PA-C

NPI 1992379135 · on the registry since 2021

Practice

Address
631 Professional Dr Ste 170
Lawrenceville, GA 30046
Phone
(678) 612-2663
Organisation at this address
Walgreen Co
Cavells Inc
Georgia Urology, Pa
Charles B Moomey Jr Md
Wallace F. Martin, M.D.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
207XX0801X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-24

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