Individual
KEVIN GRANT JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5825 STERLING CT, CUMMING, GA 30040-0582
(678) 308-3252
Mailing address
5825 STERLING CT, CUMMING, GA 30040-0582
(678) 308-3252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002894
GA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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