Jasmine Lake
Jasmine Lake is an Obstetrics & Gynecology Physician in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2026.
- Licensed in
- GA
- In the registry since
- 2026
Practice location Address checks out
777 Hemlock StMacon, GA 31201-2102
Phone: (478) 633-1000
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Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 112784 (GA) |
|---|
Record details
| NPI number | 1043159130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 25, 2026 |
| Last updated in NPPES | June 15, 2026 |
| Certification date | June 15, 2026 |
| Mailing address | 777 Hemlock St, Macon, GA 31201-2102 |
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