MEDICARE: MR. SCOTT C JONES CP, CFO

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
1	224P00000X	Prosthetist

Other Identifiers

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

General Provider Information

NPI Number	:	1457542508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT C JONES CP, CFO

Provider Business Mailing Address
First Line	:	715 FAIRGROVE CHURCH RD SE
Second Line	:	SUITE 203
City	:	CONOVER
State	:	NC
Zip	:	28613-9290
Country	:	US
Telephone Number	:	828-328-5347
Fax Number	:	828-328-4405

Provider Business Practice Location Address
First Line	:	715 FAIRGROVE CHURCH RD SE
Second Line	:	SUITE 203
City	:	CONOVER
State	:	NC
Zip	:	28613-9290
Country	:	US
Telephone Number	:	828-328-5347
Fax Number	:	828-328-4405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	11/02/2012

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