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NPI Code Detail

MEDICARE: STERLIN BLAKLEY JONES OD

MEDICARE:   STERLIN BLAKLEY JONES  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT003181GA

General Provider Information

NPI Number : 1770136558
Entity Type Code : Individual
Provider Name (Legal Business Name) : STERLIN BLAKLEY JONES OD
Provider Business Mailing Address
First Line : 4832 BRIARCLIFF RD NE STE 1
Second Line :
City : ATLANTA
State : GA
Zip : 30345-2702
Country : US
Telephone Number : 770-727-0772
Fax Number :
Provider Business Practice Location Address
First Line : 4832 BRIARCLIFF RD NE STE 1
Second Line :
City : ATLANTA
State : GA
Zip : 30345-2702
Country : US
Telephone Number : 770-727-0772
Fax Number : 770-766-1117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2019
Last Update Date : 05/22/2024

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Directions to “ STERLIN BLAKLEY JONES OD” Practice Location

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