Provider Demographics
NPI:1447451869
Name:CONDE, JENIFER M (MD)
Entity type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:M
Last Name:CONDE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:833 CAMPBELL HILL ST NW
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1134
Mailing Address - Country:US
Mailing Address - Phone:770-528-0260
Mailing Address - Fax:770-528-0269
Practice Address - Street 1:833 CAMPBELL HILL ST NW
Practice Address - Street 2:SUITE 400
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1134
Practice Address - Country:US
Practice Address - Phone:770-528-0260
Practice Address - Fax:770-528-0269
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2019-10-22
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Provider Licenses
StateLicense IDTaxonomies
NC142231207V00000X
GA65532207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology