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Provider Information for 1902001084

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. EUGENIA J JONES-HARRY DMD, MAGD

Gender: FEMALE

Individual NPI: 1902001084

Calendar   Last Updated:  2008-12-05
  Certification Date: 

Details

Name Value
NPI 1902001084
Enumeration Date 2007-06-18
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 134 WINDRIDGE
LAGRANGE, GA 30240-9743
United States

Phone: 706-884-3290 | Fax: 706-884-9404
View Map External Link
Primary Practice Address 1602 VERNON RD SUITE 100
LAGRANGE, GA 30240-4129
United States

Phone: 706-885-9991 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice GA 10552