Jones, Sandra Bryant

Jones, Sandra Bryant is an sole proprietor health care provider with primary practice located at 501 Gordon Ave , Thomasville GA 31792-6645. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jones, Sandra Bryant can be contacted via phone (229) 226-8700.

Contact Information

Primary practice address
501 Gordon Ave Thomasville GA 31792-6645
Fax: (229) 225-9649
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH021628 Georgia
Pharmacy Service Providers / Pharmacist 183500000X PS37654 Florida
Pharmacy Service Providers / Pharmacist 183500000X PU6207 Florida

Profile Details

NPI number 1922216068
LBN Legal business name Jones, Sandra Bryant
Credentials PHARM.D., CPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Aug 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922216068 NPPES
Georgia Other 003170641A PEACHSTATE (MEDICAID)
Georgia MEDICAID 003171233A PEACHSTATE (MEDICAID)
Georgia Other 202G878581 PEACHSTATE (MEDICAID)

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