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General NPI Number Information
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NPI Number | 1669429460
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Entity Type | Organization
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Legal Business Name | JERRY A. JONES, M.D., P.A.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 700 S TORRENCE ST SUITE 110
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City | CHARLOTTE
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State | NC
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Zip | 28204-3077
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Country | US
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Telephone | 704-332-2272
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Fax | 704-374-9201
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Provider Business Mailing Address
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Address Line | 700 S TORRENCE ST SUITE 110
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City | CHARLOTTE
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State | NC
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Zip | 28204-3077
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Country | US
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Telephone | 704-332-2272
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Fax | 704-374-9201
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Authorized Official
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Title or Position | OWNER
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Name | DR. JERRY ANTHONY JONES
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Credential | MD
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Telephone | 704-332-2272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 00-23388
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License Number State | NC
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