| Mary Emma B Jones Phd Pc | |
|
881 Upper Plott Town Road Young Harris GA 30582 | |
| (706) 379-0909 | |
| (706) 379-0975 |
| Full Name | Mary Emma B Jones Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 881 Upper Plott Town Road, Young Harris, Georgia |
| Authorized Official Name and Position | Mary Emma B Jones (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7063790909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Emma B Jones Phd Pc Po Box 881 Blairsville GA 30514-0881 Ph: (706) 745-2872 | Mary Emma B Jones Phd Pc 881 Upper Plott Town Road Young Harris GA 30582 Ph: (706) 379-0909 |
| NPI Number | 1275711509 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/14/2020 |
| Medicare PECOS PAC ID | 9436237633 |
|---|---|
| Medicare Enrollment ID | O20080428000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275711509 | NPI | - | NPPES |
| 00791337A | Medicaid | GA | |
| 855189 | Other | GA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY002217 (Georgia) | Primary |
| Provider Name | Mary Emma Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699835900 PECOS PAC ID: 9638257835 Enrollment ID: I20080428000602 |
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