Individual
DOMINIQUE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 LAKE OCONEE PKWY, GREENSBORO, GA 30642-6433
(706) 454-7140
Mailing address
2572 WESTCHESTER WAY SE, CONYERS, GA 30013-6448
(770) 864-7264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031114
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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