Jason David Kranenburg, CSFA
Jason David Kranenburg, CSFA is a Surgical Physician Assistant in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
1415 Highway 85 N Ste 310-147Fayetteville, GA 30214-7738
Phone: (937) 570-2426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 143379 (GA) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 143379 (GA) |
Record details
| NPI number | 1083046635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSFA |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2013 |
| Last updated in NPPES | November 16, 2021 |
| Certification date | November 16, 2021 |
| Mailing address | Po Box 2550, Rowlett, TX 75030-2550 |
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-
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