Organization
SUSAN LEIGH JONES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LEIGH JONES MD (DOCTOR)
(706) 485-0880
Entity
Organization
Contact information
Practice address
952 LAKE OCONEE PKWY, EATONTON, GA 31024-5801
(706) 485-0880
(706) 485-0846
Mailing address
952 LAKE OCONEE PKWY, EATONTON, GA 31024-5801
(706) 485-0880
(706) 485-0846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000398736C
—
GA
01
—
320013
WELLCARE
GA
01
—
52578011005
BLUE CROSS
GA
Enumeration date
05/24/2007
Last updated
07/01/2010
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