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Contact Information

JENNIFER A DATTOLO, OD
1075 BUCKHEAD XING
SUITE 130
WOODSTOCK, GA30189-4262
 Phone: 770-702-5996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for JENNIFER A DATTOLO · (Female)

NPI Number 1962596627
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/03/2006
Last updated 06/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 001878
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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