Provider Demographics
NPI:1427513217
Name:JONES, CHERICA (HERBALIST)
Entity type:Individual
Prefix:
First Name:CHERICA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:HERBALIST
Other - Prefix:
Other - First Name:THE YONI
Other - Middle Name:
Other - Last Name:LADY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:POSTPARTUM DOULA
Mailing Address - Street 1:4 NORWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-5136
Mailing Address - Country:US
Mailing Address - Phone:912-662-9844
Mailing Address - Fax:
Practice Address - Street 1:7805 WATERS AVE STE 3B
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2443
Practice Address - Country:US
Practice Address - Phone:912-662-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QH0100X208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice