Individual
MRS. ANNIE LEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 WENDELL AVE, DOTHAN, AL 36303-3737
(334) 794-2056
Mailing address
903 WENDELL AVE, DOTHAN, AL 36303-3737
(334) 794-2056
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50000119994625
—
AL
Enumeration date
09/23/2019
Last updated
09/23/2019
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