Individual
DR. JACQUELINE GOINGS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-2040
Mailing address
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER, COLUMBUS, OH 43222-1317
(614) 274-1455
(614) 274-2040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3532/403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477667
—
OH
Enumeration date
01/11/2006
Last updated
08/08/2014
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