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Search › Georgia › 174400000X

Jacob Jones, SPECIALIST SCH PSYCH

NPI 1154756625 · on the registry since 2013

Practice

Address
1979 Lakeside Pkwy Ste 800
Tucker, GA 30084
Phone
(800) 849-5502
Organisation at this address
Soliant Health
Vitex Healthcare, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia