Individual
CHARLES E JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 GAINES SCHOOL RD, ATHENS, GA 30605-3127
(706) 369-8115
Mailing address
665 GAINES SCHOOL RD, ATHENS, GA 30605-3127
17063698115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT013004
PT LICENSE
GA
Enumeration date
07/28/2017
Last updated
07/21/2022
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