Individual
DR. KECIA JACKSON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-1034
(706) 754-1032
Mailing address
P.O. BOX 550, DEMOREST, GA 30535
(706) 754-1034
(706) 754-1032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055247
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620650772A
—
GA
Enumeration date
06/28/2006
Last updated
10/14/2024
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