Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR010108 | GA |
N | 111NN0400X | Neurology | 010108 | GA |
NPI | 1891265534 |
---|---|
Provider Name | Dr. Austin David Jones |
First Address | Guyton, GA 31312-5988 |
Second Address | Savannah, GA 31401-2905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2018 |
Last Update Date | 29/06/2021 |