Individual
THOMAS D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12192 AUGUSTA RD, LAVONIA, GA 30553-1209
(706) 356-1072
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897652C
—
GA
05
—
G49630
—
SC
Enumeration date
06/01/2005
Last updated
12/02/2020
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