Mercer, Jessica J.
Mercer, Jessica J. is an individual health care provider with primary practice located at 2383 Pate St , Snellville GA 30078-3250. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mercer, Jessica J. can be contacted via phone (770) 972-4845.Contact Information
Primary practice address
2383 Pate St
Snellville GA 30078-3250
Phone: (770) 972-4845
Fax: (770) 972-0358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME112834 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 071698 | Georgia |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 071698 | Georgia |
Profile Details
| NPI number | 1417118886 |
|---|---|
| LBN Legal business name | Mercer, Jessica J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jun 11th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417118886 | NPPES |
| Florida | MEDICAID | 0062545-00 |
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