Individual
STACEY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 MOUNT PLEASANT DR, COLUMBUS, GA 31907-6029
(706) 573-9556
Mailing address
435 MT. PLEASANT DR., COLUMBUS, GA 31907
(706) 573-9556
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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