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NPI 1205875739

NPI 1205875739 : JOHN E JONES M.D. : MARIETTA, GA

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General NPI Number Information
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    NPI Number           |    1205875739
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN E JONES M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/06/2006
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    61 WHITCHER STREET NE SUITE 2100
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    City                 |    MARIETTA
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    State                |    GA
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    Zip                  |    30060-1179
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    Country              |    US
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    Telephone            |    770-423-0595
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    Fax                  |    770-423-0598
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Provider Business Mailing Address
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    Address Line         |    60 CHASTAIN CENTER BLVD NW STE 66 
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    City                 |    KENNESAW
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    State                |    GA
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    Zip                  |    30144-5598
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    Country              |    US
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    Telephone            |    770-423-0595
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    Fax                  |    678-391-5055
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    223875
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    58886
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    License Number State |    GA
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