Provider Demographics
NPI:1902932593
Name:CHRISTIAN, JEMEKA S (PA-C)
Entity Type:Individual
Prefix:MS
First Name:JEMEKA
Middle Name:S
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:915 GORDON AVE
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-6353
Mailing Address - Country:US
Mailing Address - Phone:229-228-2000
Mailing Address - Fax:229-551-8776
Practice Address - Street 1:114 MIMOSA DR
Practice Address - Street 2:JDAMH -- APOGEE MEDICAL GROUP
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-5739
Practice Address - Country:US
Practice Address - Phone:229-200-6866
Practice Address - Fax:229-551-8776
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004339363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAQ28330Medicare UPIN
GA97WCGBKMedicare ID - Type Unspecified
GA511I970191Medicare PIN