Jones, Tina

Jones, Tina is an sole proprietor health care provider with primary practice located at 3969 S Cobb Dr Se Suite 201, Smyrna GA 30080-6358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jones, Tina can be contacted via phone (770) 438-2942.

Contact Information

Primary practice address
3969 S Cobb Dr Se Suite 201 Smyrna GA 30080-6358
Fax: (770) 438-6560
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 029010 Georgia

Profile Details

NPI number 1730147117
LBN Legal business name Jones, Tina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Mar 28th, 2008 - about 16 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 1730147117 NPPES
Georgia MEDICAID 00522112A
Georgia Other 58-1820883
Georgia Other 7166299
Georgia Other 318475
Georgia Other 4582404
Georgia Other 58-1820883

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