Individual
KENNETH WAYNE JONES JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 N MAIN ST, CEDARTOWN, GA 30125-2644
(770) 748-2500
Mailing address
7 HUNTINGTON RD SW, ROME, GA 30165-6660
(706) 234-4479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31037
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000475307F
—
GA
Enumeration date
06/16/2006
Last updated
04/10/2014
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