Individual
MR. WALTER ELLIS JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 COLONY PARK DR, SUITE 700, CUMMING, GA 30040-2787
(470) 505-3576
Mailing address
107 COLONY PARK DR, SUITE 700, CUMMING, GA 30040-2787
(470) 505-3576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC009174
GA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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