Individual
DR. JEANNETTE MARIE POPE-OZIMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1505 W 3RD AVE, STE A, ALBANY, GA 31707-3647
(229) 465-6161
(229) 435-6191
Mailing address
1505 W 3RD AVE, STE A, ALBANY, GA 31708-3647
(229) 435-6161
(229) 465-6191
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN11610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000796617C
—
GA
Enumeration date
01/11/2010
Last updated
01/11/2010
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