Provider Demographics
NPI:1144425588
Name:MEEKS, JESSALYN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSALYN
Middle Name:ELIZABETH
Last Name:MEEKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JESSALYN
Other - Middle Name:ELIZABETH
Other - Last Name:SALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1875 CENTURY BLVD NE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3325
Mailing Address - Country:US
Mailing Address - Phone:404-633-4595
Mailing Address - Fax:404-633-6637
Practice Address - Street 1:1875 CENTURY BLVD NE
Practice Address - Street 2:SUITE 150
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3325
Practice Address - Country:US
Practice Address - Phone:404-633-4595
Practice Address - Fax:404-633-6637
Is Sole Proprietor?:No
Enumeration Date:2007-06-16
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059277208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics