Healthcare Provider Details

I. General information

NPI: 1235833435
Provider Name (Legal Business Name): MAHA RASLAN JONES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 WHEELER RD
AUGUSTA GA
30909-6426
US

IV. Provider business mailing address

3651 WHEELER RD
AUGUSTA GA
30909-6426
US

V. Phone/Fax

Practice location:
  • Phone: 404-935-2468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number111064
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: