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NPI Code Detail

MEDICARE: KATHERINE SHARPE JONES PH.D.

MEDICARE: KATHERINE SHARPE JONES PH.D.
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
1103TC0700XClinical Psychologist2474GA

General Provider Information

NPI Number : 1356378061
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SHARPE JONES PH.D.
Provider Business Mailing Address
First Line : 1670 CLAIRMONT RD
Second Line : ATLANTA V.A. MEDICAL CENTER, 116A
City : DECATUR
State : GA
Zip : 30033-4004
Country : US
Telephone Number : 404-321-6111
Fax Number :
Provider Business Practice Location Address
First Line : 1670 CLAIRMONT RD
Second Line : ATLANTA V.A. MEDICAL CENTER, 116A
City : DECATUR
State : GA
Zip : 30033-4004
Country : US
Telephone Number : 404-321-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/08/2007

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