Individual
TAWANDA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 NEW ST STE 30D, MACON, GA 31201-7304
(478) 722-4512
Mailing address
108 CARTER CIR, WARNER ROBINS, GA 31093-2910
(478) 722-4512
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PHCP010667
GA
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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