Individual
BRAD JAY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 LAZY RIVER DR, VALDOSTA, GA 31602-8245
(706) 988-9032
Mailing address
470 LAZY RIVER DR, VALDOSTA, GA 31602-8245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN197722
GA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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