Individual
KENYA COOK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY # 5, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
445 SWAMP RD, BEECH ISLAND, SC 29842-4594
(803) 265-1209
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN067694
GA
164W00000X
Licensed Practical Nurse
P33481
SC
Other
Enumeration date
08/31/2008
Last updated
08/31/2008
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