Jacqueline M Anglade, MD Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Tucker, GA
- NPI
- 1720196728
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 052879 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Practice location
200 Crescent Centre Park, Department Of Obstetrics & Gynecology
Tucker, GA 30084
(770) 496-3525