Individual
DR. JASON SIMON EAGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
248 ARROWHEAD BLVD, JONESBORO, GA 30236-1106
(770) 471-2333
(770) 473-0236
Mailing address
248 ARROWHEAD BLVD, JONESBORO, GA 30236-1106
(770) 471-2333
(770) 473-0236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1755220
UNITED CONCORDIA
PA
05
—
779829461A
—
GA
Enumeration date
08/04/2006
Last updated
12/10/2007
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