Individual
KIA RENEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1360 UPPER HEMBREE RD STE 201B, ROSWELL, GA 30076-1230
(770) 475-3361
(770) 664-4431
Mailing address
1360 UPPER HEMBREE RD STE 201B, ROSWELL, GA 30076-1230
(770) 475-3361
(770) 664-4431
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01075033A
IN
207Y00000X
Otolaryngology Physician
314809
NY
207Y00000X
Otolaryngology Physician
Primary
98190
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201098650
—
IN
01
—
P01512498
RR MEDICARE
IN
Enumeration date
06/02/2010
Last updated
05/17/2024
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