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Individual

JESSICA LEE REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3575 DURDEN DR NE STE 303, BROOKHAVEN, GA 30319-2255
(770) 515-9393
Mailing address
3575 DURDEN DR NE STE 303, BROOKHAVEN, GA 30319-2255
(770) 515-9393

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003574A
IN
152W00000X
Optometrist
Primary
OPT002538
GA

Other

Enumeration date
07/27/2009
Last updated
10/01/2021
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