Individual
REINE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
551 ZOIE LANE, PALMETTO, GA 30268
(404) 910-2679
Mailing address
551 ZOIE LANE, PALMETTO, GA 30268
(404) 910-2679
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002597
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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