Individual
SHANTHA TYHESSIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2453 SHEA DRIVE, MACON, GA 31206
(478) 703-3659
Mailing address
2453 SHEA DR, MACON, GA 31206-3866
(478) 703-3659
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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