MEDICARE: DR. CRYSTAL JONES DC

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
1	111N00000X	Chiropractor	CHIRO09275	GA
2	374J00000X	Doula		GA
3	133NN1002X	Nutrition Education Nutritionist		NC

General Provider Information

NPI Number	:	1508259235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRYSTAL JONES DC

Provider Business Mailing Address
First Line	:	115 MARTIN LUTHER KING JR DR SW
Second Line	:	SUITE 27516
City	:	ATLANTA
State	:	GA
Zip	:	30303-3536
Country	:	US
Telephone Number	:	770-580-0569
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 MARTIN LUTHER KING JR DR SW
Second Line	:	SUITE 27516
City	:	ATLANTA
State	:	GA
Zip	:	30303-3536
Country	:	US
Telephone Number	:	770-580-0569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2015
Last Update Date	:	04/15/2016

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Directions to “ DR. CRYSTAL JONES DC” Practice Location

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