Individual
KATHERINE ELLEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(480) 277-6668
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(480) 277-6668
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000027316
—
2255A2300X
Athletic Trainer
AT003361
GA
363A00000X
Physician Assistant
Primary
12484
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2019
Last updated
08/07/2024
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