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Individual

MARILYNE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3920 CLUB DR APT 724, DULUTH, GA 30096-7101
(678) 382-7470
Mailing address
2546 FOXY DR, BETHLEHEM, GA 30620-7669
(678) 382-7470

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06181816
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F06181816
AANP
GA
05
F06181816
GA
Enumeration date
06/25/2018
Last updated
03/07/2022
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