Individual provider · NPI-1

Clarence Jones, Surg Frist Assistant

Specialist/Technologist, Other, Surgical Technologist · Lithonia, GA

NPI number1295884146
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1295884146
Entity type
Individual (NPI-1)
Name
Mr. Clarence Jones
Credential
Surg Frist Assistant
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 9, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZS0410X Specialist/Technologist, Other, Surgical Technologist2638GAYes

Practice location

6413 Swift Creek Dr
Lithonia, GA 30058-6048

Phone 770-482-5119 · Fax 678-526-1062

Mailing address

6413 Swift Creek Dr
Lithonia, GA 30058-6048

Phone 770-482-5119 · Fax 678-526-1062

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