Individual
DR. KYLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9412 PARKWOOD AVE, DOUGLASVILLE, GA 30135
(770) 938-9030
Mailing address
4135 LAVISTA ROAD, 100, TUCKER, GA 30084
(770) 939-8840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T-001749
GA
Other
Enumeration date
10/13/2006
Last updated
08/27/2007
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