Jones, Shannon Marie

Jones, Shannon Marie is an individual health care provider with primary practice located at 2069 Teron Trce Ste 300 , Dacula GA 30019-1665. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Jones, Shannon Marie can be contacted via phone (404) 256-2593.

Contact Information

Primary practice address
2069 Teron Trce Ste 300 Dacula GA 30019-1665
Phone: (404) 256-2593
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD451179 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 073763 Georgia

Profile Details

NPI number 1699069831
LBN Legal business name Jones, Shannon Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2011
Last updated Jan 22nd, 2021 - about 5 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 1699069831 NPPES
Pennsylvania MEDICAID 1029589230001
Pennsylvania MEDICAID 003164335D

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