Provider Demographics
NPI:1659683175
Name:DEV, JASMINDER SINGH (PA)
Entity Type:Individual
Prefix:MR
First Name:JASMINDER
Middle Name:SINGH
Last Name:DEV
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Gender:M
Credentials:PA
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Mailing Address - Street 1:8390 CHAMPIONS GATE BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8310
Mailing Address - Country:US
Mailing Address - Phone:407-390-1677
Mailing Address - Fax:407-390-1765
Practice Address - Street 1:1605 PEACHTREE ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2433
Practice Address - Country:US
Practice Address - Phone:404-870-7746
Practice Address - Fax:404-870-7719
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2016-07-28
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Provider Licenses
StateLicense IDTaxonomies
GA005853363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical