Provider Demographics
NPI:1932200995
Name:JONES, SANDRA M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 PINECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2209
Mailing Address - Country:US
Mailing Address - Phone:229-244-3471
Mailing Address - Fax:
Practice Address - Street 1:2308 PINECLIFF DR
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2209
Practice Address - Country:US
Practice Address - Phone:229-244-3471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA017491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist