Provider Demographics
NPI:1699942151
Name:SMITH-JONES, LATRETRA JOY (DC)
Entity type:Individual
Prefix:DR
First Name:LATRETRA
Middle Name:JOY
Last Name:SMITH-JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 POSSUM TROT LN
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9162
Mailing Address - Country:US
Mailing Address - Phone:803-920-1540
Mailing Address - Fax:
Practice Address - Street 1:3202 N MAIN STREET SUITE 112
Practice Address - Street 2:NELSON & NELSON CHIROPRACTIC
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1831
Practice Address - Country:US
Practice Address - Phone:910-426-9112
Practice Address - Fax:910-426-3802
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor