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NPI Code Detail

MEDICARE: GARY JONES

MEDICARE:   GARY  JONES
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
1183500000XPharmacist017535GA

General Provider Information

NPI Number : 1518599026
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY JONES
Provider Business Mailing Address
First Line : 2875 N DECATUR RD # RX
Second Line :
City : DECATUR
State : GA
Zip : 30033-5911
Country : US
Telephone Number : 404-294-8211
Fax Number :
Provider Business Practice Location Address
First Line : 2875 N DECATUR RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-5911
Country : US
Telephone Number : 404-294-8211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2020
Last Update Date : 02/12/2020

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Directions to “ GARY JONES ” Practice Location

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