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Search › Georgia › 390200000X

Laquanda Jefferson

NPI 1104340256 · on the registry since 2017 · sole proprietor

Practice

Address
870 Crestmark Dr Ste 103
Lithia Springs, GA 30122
Phone
(770) 672-0376
Fax
(770) 672-0376
Organisation at this address
Anntioneek Boston
Familial Bonds Llc
Precision Surgery Llc
Raj K. Bansal, M.D., P.C.
West Cobb Medical Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
103K00000X
106H00000X
106S00000X
171M00000X
Sex
Female
Record last updated
2017-07-31

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