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Individual

DR. KENNETH ALLEN JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6350 PEACHTREE DUNWOODY RD, ATLANTA, GA 30328
(770) 688-1901
(770) 688-1902
Mailing address
4495 REDAN CT, SMYRNA, GA 30080-9318
(770) 688-1901
(678) 310-0168

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT002048
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283422181*21
GA
Enumeration date
09/27/2006
Last updated
04/26/2019
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