Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR008885 | GA |
NPI | 1003180670 |
---|---|
Provider Name | Dr. Meredith Lorraine Jones-Newhouse |
First Address | Marietta, GA 30062-4971 |
Second Address | Marietta, GA 30062-4971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2012 |
Last Update Date | 09/08/2012 |