Most Relevant Information
Provider Data
| NPI Number: | 1003337718 |
| Provider Name: | SHANTHA TYHESSIA JONES |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2453 SHEA DRIVE
MACON
GA
31206
Practice Location Phone/Fax
| Phone: | 4787033659 |
| Fax: |
Provider Mailing Location
2453 SHEA DR
MACON
GA
312063866
Provider Mailing Phone/Fax
| Phone: | 4787033659 |
| Fax: |