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NPI Code Detail

MEDICARE: DR. JENNIFER WARES MD

MEDICARE: DR. JENNIFER WARES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician054694GA
2208D00000XGeneral Practice Physician054694GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346229622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER WARES MD
Provider Business Mailing Address
First Line : 280 CHEROKEE AVE
Second Line :
City : ATHENS
State : GA
Zip : 30606-4308
Country : US
Telephone Number : 706-614-7524
Fax Number :
Provider Business Practice Location Address
First Line : 5555 GLENRIDGE CONNECTOR STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4815
Country : US
Telephone Number : 720-897-3749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 02/12/2024

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Directions to “ DR. JENNIFER WARES MD” Practice Location

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