Individual
MRS. YVETTE ARLENE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
1630 ELLINGTON RD SE, CONYERS, GA 30013-2188
(770) 728-2174
Mailing address
1630 ELLINGTON RD SE, CONYERS, GA 30013-2188
(770) 728-2174
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7228
GA
Other
Enumeration date
03/11/2012
Last updated
03/11/2012
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