Healthcare Provider Details

I. General information

NPI: 1316952047
Provider Name (Legal Business Name): JENNIFER SETLIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4503 ASHFORD DUNWOODY RD NE
ATLANTA GA
30346-1509
US

IV. Provider business mailing address

4503 ASHFORD DUNWOODY RD NE
ATLANTA GA
30346-1509
US

V. Phone/Fax

Practice location:
  • Phone: 407-567-4000
  • Fax: 407-567-5924
Mailing address:
  • Phone: 470-285-9589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number85188
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: