Individual
MR. JERRY LEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
239 W PENNSYLVANIA AVE, SOUTHERN PINES, NC 28387-5430
(910) 215-7155
(910) 944-5901
Mailing address
134 MICHAEL LN, ABERDEEN, NC 28315-2223
(910) 215-7155
(910) 944-5901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2301
NC
235Z00000X
Speech-Language Pathologist
Primary
8637
NC
Other
Enumeration date
06/14/2007
Last updated
04/11/2011
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