Healthcare Provider Details

I. General information

NPI: 1497739346
Provider Name (Legal Business Name): WV MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4280 WATERMELON RD STE 112
NORTHPORT AL
35473-5250
US

IV. Provider business mailing address

4280 WATERMELON RD STE 112
NORTHPORT AL
35473-5250
US

V. Phone/Fax

Practice location:
  • Phone: 205-750-0030
  • Fax: 205-750-0855
Mailing address:
  • Phone: 205-750-0030
  • Fax: 205-750-0855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number00019352
License Number StateAL

VIII. Authorized Official

Name: RICHARD EDWIN JONES III
Title or Position: OWNER
Credential: PHD, MD
Phone: 205-750-0030