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Individual

MS. JESSICA LAUREN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1415 WOOTEN LAKE RD NW STE 100, KENNESAW, GA 30144
(770) 424-2020
(770) 424-8284
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002770
GA

Other

Enumeration date
07/18/2013
Last updated
08/23/2018
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