Individual
TINA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3969 S COBB DR SE, SUITE 201, SMYRNA, GA 30080-6358
(770) 438-2942
(770) 438-6560
Mailing address
3969 S COBB DR SE, SUITE 201, SMYRNA, GA 30080-6358
(770) 438-2942
(770) 438-6560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00522112A
—
GA
01
—
318475
WELLCARE OF GEORGIA
GA
01
—
4582404
AETNA
GA
01
—
58-1820883
HUMANA
GA
01
—
7166299
CIGNA
GA
Enumeration date
05/03/2006
Last updated
03/28/2008
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