Individual
MR. JIMMY EARL CRITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1281 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4009
(706) 861-7053
Mailing address
1413 DOSSETT ST, ATHENS, TN 37303-4455
(423) 746-8806
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO000424
GA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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