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Individual

DR. JEWEL JONES FAISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1118 W BROAD AVE, BOX 71963 (31708), ALBANY, GA 31707-4393
(229) 869-3116
Mailing address
1106 GREENWOOD DR, ALBANY, GA 31707-3314
(229) 869-3116

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
172A00000X
Driver
052632410
GA
172V00000X
Community Health Worker
1744R1102X
Research Study Specialist
174H00000X
Health Educator
Primary
213224
GA

Other

Enumeration date
03/06/2014
Last updated
03/06/2014
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