Provider Demographics
NPI:1578801551
Name:JONES EVANS, BARBARA J (LMT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:JONES EVANS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 GEORGETOWN SQ STE 711
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6234
Mailing Address - Country:US
Mailing Address - Phone:404-386-6899
Mailing Address - Fax:
Practice Address - Street 1:4350 GEORGETOWN SQ STE 711
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6234
Practice Address - Country:US
Practice Address - Phone:404-386-6899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT004893173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist