MEDICARE: DR. ANTHONY G JONES M.D.

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	2085R0202X	Diagnostic Radiology Physician	E2930	AR

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
2	000000568892	OTHER	KY	ANTHEM BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962445353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY G JONES M.D.

Provider Business Mailing Address
First Line	:	2045 MOUNT ZION RD
Second Line	:	SUITE 389
City	:	MORROW
State	:	GA
Zip	:	30260-3313
Country	:	US
Telephone Number	:	404-419-8182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 MOUNT ZION RD
Second Line	:	SUITE 389
City	:	MORROW
State	:	GA
Zip	:	30260-3313
Country	:	US
Telephone Number	:	404-419-8182
Fax Number	:	888-418-3977

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	02/12/2015

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