Individual
MR. ALFRED JONES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
114 PLEASANT HOME RD, SUITE A, AUGUSTA, GA 30907-3518
(706) 364-3209
(706) 364-3259
Mailing address
114 PLEASANT HOME RD, SUITE A, AUGUSTA, GA 30907-3518
(706) 364-3209
(706) 364-3259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002404
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030496408
TAX ID
GA
05
—
455283353A
—
GA
01
—
90301
SAP
GA
Enumeration date
10/17/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us