Jones, Vickie Denese

Jones, Vickie Denese is an individual health care provider with primary practice located at 1918 Northlake Pkwy , Tucker GA 30084-7070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jones, Vickie Denese can be contacted via phone (770) 809-3332.

Contact Information

Primary practice address
1918 Northlake Pkwy Tucker GA 30084-7070
Phone: (770) 809-3332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 044503 Georgia

Profile Details

NPI number 1457438129
LBN Legal business name Jones, Vickie Denese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 29th, 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 1457438129 NPPES
Georgia MEDICAID 000765542AB

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