Most Relevant Information
Provider Data
| NPI Number: | 1003289711 |
| Provider Name: | JIAQI TRACY LI PAA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 7750 |
Most Important Dates
| Enumeration Date: | 11/03/2015 |
| Last Updated: | 06/06/2022 |
Provider Practice Location
1001 JOHNSON FY RD NE
ATLANTA
GA
303421605
Practice Location Phone/Fax
| Phone: | 4047852008 |
| Fax: | 4047854496 |
Provider Mailing Location
1001 JOHNSON FY RD NE
ATLANTA
GA
303421605
Provider Mailing Phone/Fax
| Phone: | 4047852008 |
| Fax: | 4047854496 |