Provider Demographics
NPI:1396155453
Name:MCCORD-JONES, SHEILA (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MCCORD-JONES
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1572 ANDERSON HWY
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-7197
Mailing Address - Country:US
Mailing Address - Phone:706-376-5197
Mailing Address - Fax:706-376-3771
Practice Address - Street 1:1572 ANDERSON HWY
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-7197
Practice Address - Country:US
Practice Address - Phone:706-376-5197
Practice Address - Fax:706-376-3771
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH019690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist