Provider Demographics
NPI:1740028323
Name:DOLCINE, JESSICA G
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:G
Last Name:DOLCINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 RIVERWOOD PARKWAY SE
Mailing Address - Street 2:SUITE 1900, PMB 2923
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339
Mailing Address - Country:US
Mailing Address - Phone:800-652-7923
Mailing Address - Fax:
Practice Address - Street 1:3350 RIVERWOOD PARKWAY SE
Practice Address - Street 2:SUITE 1900, PMB 2923
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:800-652-7923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy