Most Relevant Information
Provider Data
| NPI Number: | 1003670613 |
| Provider Name: | LOLA JAYNE OLIVER |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2024 |
| Last Updated: | 02/13/2024 |
Provider Practice Location
538 GREATER ZACHARIAH CHURCH RD
GLENNVILLE
GA
304273872
Practice Location Phone/Fax
| Phone: | 9122373251 |
| Fax: |
Provider Mailing Location
538 GREATER ZACHARIAH CHURCH RD
GLENNVILLE
GA
304273872
Provider Mailing Phone/Fax
| Phone: | 9122373251 |
| Fax: |