Individual
DR. VICKIE DENESE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1918 NORTHLAKE PKWY, TUCKER, GA 30084-7070
(770) 809-3332
Mailing address
3097 LIONS CLUB LN;, LITHANIA, GA 30038
(678) 467-3006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000765542AB
—
GA
Enumeration date
11/01/2006
Last updated
04/29/2021
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