MEDICARE: DR. WILLIAM A JONES D,C,

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
1	111N00000X	Chiropractor	111024	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558343228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM A JONES D,C,

Provider Business Mailing Address
First Line	:	3106 DEVINE ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29205-1846
Country	:	US
Telephone Number	:	803-252-2255
Fax Number	:	803-252-5436

Provider Business Practice Location Address
First Line	:	3106 DEVINE ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29205-1846
Country	:	US
Telephone Number	:	803-252-2255
Fax Number	:	803-252-5436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	07/08/2007

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