Individual
CHARLES JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 S 13TH ST, CORDELE, GA 31015-4175
(229) 406-9594
Mailing address
1709 S 13TH ST, CORDELE, GA 31015-4175
(229) 406-9594
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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