Individual
DR. RICHARD GERARD JABALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
431 GROVE ST N, SUITE C, DAHLONEGA, GA 30533-0436
(706) 864-8635
(706) 864-2441
Mailing address
431 GROVE ST N, SUITE C, DAHLONEGA, GA 30533-0436
(706) 864-8635
(706) 864-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00712269A
—
GA
Enumeration date
01/24/2007
Last updated
03/11/2020
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