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NPI Code Detail

MEDICARE: JONES FAMILY MEDICINE CLINIC, PLLC

MEDICARE: JONES FAMILY MEDICINE CLINIC, PLLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1689769903
Entity Type Code : Organization
Provider Name (Legal Business Name) : JONES FAMILY MEDICINE CLINIC, PLLC
Provider Business Mailing Address
First Line : 2680 HIGHWAY 15
Second Line :
City : BAY SPRINGS
State : MS
Zip : 39422-7429
Country : US
Telephone Number : 601-764-6972
Fax Number : 601-764-6975
Provider Business Practice Location Address
First Line : 2680 HIGHWAY 15
Second Line :
City : BAY SPRINGS
State : MS
Zip : 39422-7429
Country : US
Telephone Number : 601-764-6972
Fax Number : 601-764-6975
Authorized Official
Title or Position : BUSINESS MANAGER
Name : KAYE D. JONES
Credential :
Telephone Number : 601-425-0092
Provider Enumeration Date : 10/03/2006
Last Update Date : 05/17/2019

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Directions to “JONES FAMILY MEDICINE CLINIC, PLLC ” Practice Location

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