Provider Demographics
NPI:1104409945
Name:JONES, MEREDITH LEE (DC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 MARKET SQUARE WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-5712
Mailing Address - Country:US
Mailing Address - Phone:678-423-2865
Mailing Address - Fax:678-802-4896
Practice Address - Street 1:21 MARKET SQUARE WAY STE 103
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-5712
Practice Address - Country:US
Practice Address - Phone:678-423-2865
Practice Address - Fax:678-802-4896
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor