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NPI Code Detail

MEDICARE: MONTRIL JONES

MEDICARE: MONTRIL JONES
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1679204853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTRIL JONES
Provider Business Mailing Address
First Line : 333 W BUTLER ST
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2605
Country : US
Telephone Number : 803-714-3446
Fax Number :
Provider Business Practice Location Address
First Line : 1400 BROWNING RD STE 195
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-6941
Country : US
Telephone Number : 803-999-3752
Fax Number : 615-815-1946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2022
Last Update Date : 08/01/2023

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Directions to “ MONTRIL JONES ” Practice Location

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