Individual
MR. HERBERT CORNELIUS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 MARTIN LUTHER KING JR DR SW, SUITE 204, ATLANTA, GA 30311-1636
(404) 691-7460
(404) 691-7479
Mailing address
2600 MARTIN LUTHER KING JR DR SW, SUITE 204, ATLANTA, GA 30311-1636
(404) 691-7460
(404) 691-7479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016882C
—
GA
01
—
012173
LICENSE
GA
01
—
581158044
TAX ID
GA
Enumeration date
09/21/2006
Last updated
06/02/2011
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