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NPI Code Detail

MEDICARE: FREDERICK D. JONES III M.D.

MEDICARE:   FREDERICK D. JONES III 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
1207L00000XAnesthesiology Physician16212MS
2207L00000XAnesthesiology Physician36366TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033196035
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICK D. JONES III M.D.
Provider Business Mailing Address
First Line : 5100 POPLAR AVE STE 2722
Second Line :
City : MEMPHIS
State : TN
Zip : 38137-4000
Country : US
Telephone Number : 281-795-5891
Fax Number :
Provider Business Practice Location Address
First Line : 5100 POPLAR AVE STE 2722
Second Line :
City : MEMPHIS
State : TN
Zip : 38137-4000
Country : US
Telephone Number : 281-795-5891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 03/12/2022

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Directions to “ FREDERICK D. JONES III M.D.” Practice Location

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