Individual provider · NPI-1

Brandi M Jones, MD, PhD

Internal Medicine · Lithonia, GA

NPI number1053547679
StatusActive
Last updated in NPPESDec 20, 2023

Details

NPI
1053547679
Entity type
Individual (NPI-1)
Name
Brandi M Jones
Credential
MD, PhD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2009
Certification date
Dec 20, 2023
Last updated
Dec 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine96074GAYes
103TC2200X Psychologist, Clinical Child & Adolescent99035264AIN
103TC2200X Psychologist, Clinical Child & Adolescent1577KY
208000000X Pediatrics96074GA
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996

Phone 404-501-8236

Mailing address

6500 Aria Blvd Apt 141
Sandy Springs, GA 30328-3668

Phone 317-474-1743

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