Individual
MR. CLARENCE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURG FRIST ASSISTANT
Contact information
Practice address
6413 SWIFT CREEK DR, LITHONIA, GA 30058-6048
(770) 482-5119
(678) 526-1062
Mailing address
6413 SWIFT CREEK DR, LITHONIA, GA 30058-6048
(770) 482-5119
(678) 526-1062
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
2638
GA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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