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Individual

KENNETH DOUGLAS JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1430 HARPER ST, SUITE 2C, AUGUSTA, GA 30824
(706) 774-0404
(706) 774-1562
Mailing address
1430 HARPER ST, SUITE 2C, AUGUSTA, GA 30824
(706) 774-0404
(706) 774-1562

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
009182
GA
2084P0800X
Psychiatry Physician
6293
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00074621A
GA
Enumeration date
11/13/2006
Last updated
07/08/2007
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