Individual
JEFFREY LEE JENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 481-6703
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 481-6703
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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