Provider Demographics
NPI:1003180670
Name:JONES-NEWHOUSE, MEREDITH LORRAINE (DC)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:LORRAINE
Last Name:JONES-NEWHOUSE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 ROSWELL RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-4971
Mailing Address - Country:US
Mailing Address - Phone:770-578-0785
Mailing Address - Fax:770-578-1304
Practice Address - Street 1:3036 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-4971
Practice Address - Country:US
Practice Address - Phone:770-578-0785
Practice Address - Fax:770-578-1304
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008885111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor