Individual
MARY DENISE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 PHARR COURT SOUTH NW, ATLANTA, GA 30305-2104
(404) 261-9043
Mailing address
2310 THE VLY NE, 2310, ATLANTA, GA 30328-5414
(770) 394-0677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN070066
GA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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