Organization
JABALEY VISION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL CHRISTOPHER JABALEY O.D. (PRESIDENT)
(706) 946-2020
Entity
Organization
Contact information
Practice address
1333 DAMASCUS CIRCLE, BLUE RIDGE, GA 30513
(706) 946-2020
(706) 946-2021
Mailing address
1333 DAMASCUS CIRCLE, BLUE RIDGE, GA 30513
(706) 946-2020
(706) 946-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4485240001
DMERC MEDICARE
GA
Enumeration date
04/19/2007
Last updated
03/28/2008
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