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NPI Code Detail

MEDICARE: MRS. SAWAYLA JONES

MEDICARE:  MRS. SAWAYLA  JONES
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
1172A00000XDriverNC

General Provider Information

NPI Number : 1083572507
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAWAYLA JONES
Provider Business Mailing Address
First Line : 5175 FICUS TREE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-4384
Country : US
Telephone Number : 704-414-0259
Fax Number :
Provider Business Practice Location Address
First Line : 6325 DALE AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-8537
Country : US
Telephone Number : 704-414-0259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ MRS. SAWAYLA JONES ” Practice Location

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