Individual
TANYA LORETTA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 GLENEAGLES DR, ALBANY, GA 31707-5050
(229) 291-1508
Mailing address
2300 GLENEAGLES DR, ALBANY, GA 31707-5050
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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