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THOMAS D JONES MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1750383030

Individual Registrant:
 THOMAS D JONES MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
12192 AUGUSTA RD  LAVONIA, GA 30553-1209 US
Tel: 706-356-1072  Fax: --

Contact information for business:
PO BOX 742616  ATLANTA, GA 30374-2616 US
Tel: 770-219-8420  Fax: --

Registration Information:
NPI: 1750383030
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA049630

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000897652CGA05
G49630SC05




HEALTH CARE JOBS GA - Page 1



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