Individual
DERRICK WESLEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
275 W BROAD ST, DECATUR, MS 39327-8985
(601) 479-6977
(601) 635-4099
Mailing address
6753 CHAPEL HILL RD, DECATUR, MS 39327-8518
(601) 479-6977
(601) 635-4099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0354
MS
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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