Individual
DR. JENNIFER MARSHALL JAIKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3975 OLD MILTON PKWY, ALPHARETTA, GA 30005-4467
(678) 624-7766
(678) 624-7775
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC 4030
FL
152W00000X
Optometrist
Primary
OPT 002111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304425559A
—
GA
Enumeration date
06/18/2006
Last updated
06/13/2024
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