Provider Demographics
NPI:1023307188
Name:JONES, DARREL GIOVONNI (DC)
Entity type:Individual
Prefix:
First Name:DARREL
Middle Name:GIOVONNI
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 MARTIN LUTHER KING JR DR SW STE 204
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-2962
Mailing Address - Country:US
Mailing Address - Phone:404-521-8459
Mailing Address - Fax:866-714-2163
Practice Address - Street 1:2001 MARTIN LUTHER KING JR DR SW
Practice Address - Street 2:STE 418
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-5806
Practice Address - Country:US
Practice Address - Phone:404-521-8459
Practice Address - Fax:866-714-2163
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor