Provider Demographics
NPI:1316127020
Name:JONES, MICHELLE SUZANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:SUZANNE
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:275 COLLIER RD NW STE 450
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1748
Mailing Address - Country:US
Mailing Address - Phone:404-355-3161
Mailing Address - Fax:404-355-1353
Practice Address - Street 1:275 COLLIER RD NW STE 450
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1748
Practice Address - Country:US
Practice Address - Phone:404-355-3161
Practice Address - Fax:404-355-1353
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002387207R00000X
GA68039207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARES0000Medicare UPIN