Individual
JESSICA ANN GLEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
1100 JOHNSON FY RD NE STE 593, ATLANTA, GA 30342-1733
(404) 299-5209
(404) 296-7415
Mailing address
1100 JOHNSON FY RD NE STE 593, ATLANTA, GA 30342-1733
(404) 299-5209
(404) 296-7415
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
311526
GA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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