Individual
JACK JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
133 ALTAMA CONNECTOR, BRUNSWICK, GA 31525-1888
(912) 265-3833
Mailing address
11900 US HIGHWAY 280, ELLABELL, GA 31308-3603
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000746
GA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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