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Individual

DR. PARVEEN JAGLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2430 HERODIAN WAY SE, STE.200, SMYRNA, GA 30080-2980
(770) 953-9000
(770) 953-1553
Mailing address
2430 HERODIAN WAY SE, STE.200, SMYRNA, GA 30080-2980
(770) 953-9000
(770) 953-1553

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002154
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002154
LICENSE NUMBER
GA
Enumeration date
10/17/2006
Last updated
07/08/2007
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