Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CHIR010456 | GA |
Y | 111NR0200X | Radiology | CHIR010456 | GA |
Y | 213ER0200X | Radiology | CHIR010456 | GA |
NPI | 1780270678 |
---|---|
Provider Name | Josias Barnes-Jones |
First Address | Marietta, GA 30060-2943 |
Second Address | Marietta, GA 30060-2943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2020 |
Last Update Date | 07/04/2021 |