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Provider Information for 1902001084



DR. EUGENIA J JONES-HARRY DMD, MAGD

Gender: FEMALE

Individual NPI: 1902001084

Calendar Last Updated: 2008-12-05

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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice GA 10552
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location