Individual
JEFFREY FARGASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 N INDIAN CREEK DR, CLARKSTON, GA 30021-2245
(404) 299-1141
(404) 299-8195
Mailing address
917 N INDIAN CREEK DR, CLARKSTON, GA 30021-2245
(404) 299-1141
(404) 299-8195
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000445
GA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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