Individual
JESSE LEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 MONTREAL RD, SUITE 170, TUCKER, GA 30084-8128
(770) 621-0870
(770) 621-9518
Mailing address
PO BOX 88607, DUNWOODY, GA 30356-8607
(770) 621-0870
(770) 621-9518
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
035072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00657544B
—
GA
05
—
00657544F
—
GA
Enumeration date
04/14/2006
Last updated
04/15/2021
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