Organization
JONES MEDICAL AND EDUCATIONAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CRAYDEN (MEDICAL BILLING SPECIALIST)
(330) 684-1200
Entity
Organization
Contact information
Practice address
8954 HOSPITAL DR BLDG C, DOUGLASVILLE, GA 30134-2200
(770) 947-4415
Mailing address
4635 REGENCY TRCE SW, ATLANTA, GA 30331-6829
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
047462
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047462
STATE LICENSE
GA
Enumeration date
09/20/2017
Last updated
09/20/2017
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