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NPI Code Detail

MEDICARE: MARKETA JONES DR

MEDICARE:   MARKETA  JONES  DR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1226300000XKinesiotherapist
2172M00000XMechanotherapist

General Provider Information

NPI Number : 1174381057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARKETA JONES DR
Provider Business Mailing Address
First Line : 8030 SILVERADO DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-6030
Country : US
Telephone Number : 706-590-7388
Fax Number :
Provider Business Practice Location Address
First Line : 4711 MILGEN RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-1304
Country : US
Telephone Number : 706-590-7388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2024
Last Update Date : 03/09/2024

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Directions to “ MARKETA JONES DR” Practice Location

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