Provider Demographics
NPI:1730414335
Name:LEGLER, JENNIFER (CNIM)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LEGLER
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-6118
Mailing Address - Country:US
Mailing Address - Phone:706-974-9354
Mailing Address - Fax:
Practice Address - Street 1:1308 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-6118
Practice Address - Country:US
Practice Address - Phone:706-974-9354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic