Individual
ANGELA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1780 PRESIDENTIAL CIR, SUITE 100, SNELLVILLE, GA 30078-5643
(770) 979-8100
(770) 736-3023
Mailing address
3855 PLEASANT HILL RD, SUITE 420, DULUTH, GA 30096-1407
(770) 495-1955
(770) 232-9961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002210
GA
363AM0700X
Medical Physician Assistant
002210
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000302A
—
GA
05
—
100000303A
—
GA
05
—
100000304A
—
GA
Enumeration date
08/19/2005
Last updated
12/09/2016
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