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Contact Information

JENNIFER A GEORGIA, P.A.
2300 HAGGERTY RD
STE 1110
WEST BLOOMFIELD, MI48323
 Phone: 248-669-2000
 Fax: 248-669-2110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER A GEORGIA · (Female)

NPI # 1841580180
Status Active
Credentials P.A.
Entity Individual
Enumeration date 04/07/2011
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601007054
Hospital affiliation(s)
  • BOTSFORD HOSPITAL - (Acute Care)
    28050 GRAND RIVER AVENUE
    FARMINGTON HILLS, MI 48336
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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