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General NPI Number Information
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NPI Number | 1013446855
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Entity Type | Organization
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Legal Business Name | JONES SURGICAL GROUP LLC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-2212
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Country | US
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Telephone | 404-686-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 4635 REGENCY TRCE SW
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City | ATLANTA
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State | GA
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Zip | 30331-6829
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Country | US
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Telephone | 678-362-8050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK KELVIN JONES
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Credential | MD
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Telephone | 678-362-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 047462
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License Number State | GA
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