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NPI Code Detail

MEDICARE: TEAM JONES MEDICAL ASSOCIATES LLC

MEDICARE: TEAM JONES MEDICAL ASSOCIATES LLC
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
1207Q00000XFamily Medicine Physician
2207QA0401XAddiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1205665619
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEAM JONES MEDICAL ASSOCIATES LLC
Provider Business Mailing Address
First Line : PO BOX 353005
Second Line :
City : TOLEDO
State : OH
Zip : 43635-3005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5010 W DAUBER DR
Second Line :
City : OTTAWA HILLS
State : OH
Zip : 43615-2172
Country : US
Telephone Number : 419-764-4448
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : JAMES JONES
Credential :
Telephone Number : 419-764-4448
Provider Enumeration Date : 08/01/2024
Last Update Date : 08/01/2024

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Directions to “TEAM JONES MEDICAL ASSOCIATES LLC ” Practice Location

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