Healthcare Provider Details

I. General information

NPI: 1053498808
Provider Name (Legal Business Name): THE JONES CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 AZALEA DR
OXFORD MS
38655-8100
US

IV. Provider business mailing address

PO BOX 1000 DEPT 552
MEMPHIS TN
38148-0001
US

V. Phone/Fax

Practice location:
  • Phone: 662-513-4401
  • Fax: 662-513-4414
Mailing address:
  • Phone: 901-685-5969
  • Fax: 901-685-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. CLYDE MICHEAL JONES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 901-685-5969