Individual
CHANDRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
ABHS 250 BRAY STREET, ATHENS, GA 30601-2244
(706) 389-6789
Mailing address
PO BOX 7416, ATHENS, GA 30604-7416
(770) 289-0406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN072713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN072713
LPN
GA
Enumeration date
04/06/2021
Last updated
04/06/2021
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