Individual
MS. ANGELA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
2451 CUMBERLAND PKWY SE, SUITE 3693, ATLANTA, GA 30339-6136
(404) 915-2736
Mailing address
2451 CUMBERLAND PKWY SE, SUITE 3693, ATLANTA, GA 30339-6136
(404) 915-2736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006095
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124104840G
—
GA
05
—
124104840I
—
GA
Enumeration date
01/19/2007
Last updated
10/21/2011
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