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NPI Code Detail

MEDICARE: DOUGLAS L JONES MD

MEDICARE: DOUGLAS L JONES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician10660WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110048097OTHERWVRAILROAD PTAN
2000157808OTHERWVBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1346280278
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS L JONES MD
Provider Business Mailing Address
First Line : 320 W MAIN ST
Second Line :
City : WHITE SULPHUR SPRINGS
State : WV
Zip : 24986-2414
Country : US
Telephone Number : 304-536-4870
Fax Number : 304-536-8010
Provider Business Practice Location Address
First Line : 320 W MAIN ST
Second Line :
City : WHITE SULPHUR SPRINGS
State : WV
Zip : 24986-2414
Country : US
Telephone Number : 304-536-4870
Fax Number : 304-536-8010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 09/27/2013

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Directions to “ DOUGLAS L JONES MD” Practice Location

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