| Jason David Kranenburg, CSFA | |
|
1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | |
| (937) 570-2426 | |
| Not Available |
| Full Name | Jason David Kranenburg |
|---|---|
| Gender | Male |
| Speciality | Specialist/technologist, Other - Surgical Assistant |
| Location | 1415 Highway 85 N Ste 310-147, Fayetteville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083046635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 143379 (Georgia) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 143379 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jason David Kranenburg, CSFA Po Box 2550, Rowlett, TX 75030-2550 Ph: (214) 227-2457 | Jason David Kranenburg, CSFA 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 Ph: (937) 570-2426 |
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