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Diane C Jensen

  • Female

Medical Specialty

Professional ID

  • NPI: 1134156086
  • PECOS ID: 9537145628
  • Enrollment ID: I20040629000271
  • Credential(MD, DO, DPM): MD
  • Medical School: Louisiana State University School Of Medicine In Shreveport
  • Medical School Graduation Year: 1980

Location

  • Address1: 4630 Gateside Seln
  • Address2:
  • City: Marietta
  • State: Georgia
  • Zip Code: 30067
  • Phone Number: (770)912-1623

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):