Individual
MANDISA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 E PONCE DE LEON AVE, SUITE 160, DECATUR, GA 30030-3452
(404) 377-9107
(404) 377-9109
Mailing address
235 E PONCE DE LEON AVE STE 160, DECATUR, GA 30030-3488
(404) 377-9107
(404) 377-9109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006837
GA
Other
Enumeration date
08/07/2006
Last updated
08/04/2022
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