Jesse Ann Soodalter
Family Doctor - Hospice and Palliative Medicine
550 Peachtree St Ne
Atlanta
, Georgia 30308
Jesse Ann Soodalter
Family Doctor - Hospice and Palliative Medicine
550 Peachtree St Ne
Atlanta
, Georgia 30308
(404) 686-4411
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Jesse Ann Soodalter
- 550 Peachtree St Ne
- Atlanta, GA
- Zip : 30308-2245
- Phone : (404) 686-4411
Second Address
- Jesse Ann Soodalter
- 550 Peachtree St Ne
- Atlanta, GA
- Zip : 30308
- Phone : (404) 686-4411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 83281 | GA |
National Provider Identifier
| NPI | 1366671711 |
|---|---|
| Provider Name | Jesse Ann Soodalter |
| First Address | Atlanta, GA 30308-2245 |
| Second Address | Atlanta, GA 30308 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2009 |
| Last Update Date | 05/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.