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Individual

JOHN WILLIAM JONES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3103 CLAIRMONT RD NE, BROOKHAVEN, GA 30329-1043
(404) 636-1457
Mailing address
174 SHADETREE LN, LAWRENCEVILLE, GA 30044-6736
(469) 816-4858

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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