Individual
MICHAEL JAMES JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1975 VIRGINIA AVE, MARTINSVILLE, VA 24112-8388
(276) 647-3937
Mailing address
805 9TH ST, VIRGINIA BEACH, VA 23451-4503
(806) 500-8652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002975
VA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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