Individual
JENNIFER LYNN OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
5361 REYNOLDS ST, SAVANNAH, GA 31405-6014
(912) 355-8000
Mailing address
415 E 53RD ST, SAVANNAH, GA 31405-3505
(865) 385-0838
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
137551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137551
NBSTSA
—
Enumeration date
01/21/2022
Last updated
01/21/2022
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