Individual
DR. JENNIFER LYNNE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3625 DALLAS HWY SW, SUITE 660, MARIETTA, GA 30064-5912
(770) 590-8951
Mailing address
3357 HANNAH CT, POWDER SPRINGS, GA 30127-1385
(404) 783-0242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002143
GA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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