MEDICARE: DR. SEON JONES 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
1	208600000X	Surgery Physician	1054985A	IN
2	208600000X	Surgery Physician	47258	TN

General Provider Information

NPI Number	:	1477525947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEON JONES M.D.

Provider Business Mailing Address
First Line	:	NAVAL MEDICAL CENTER GENERAL SURGERY DEPT
Second Line	:	34730 BOB WILSON DR. STE 400
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-3400
Country	:	US
Telephone Number	:	619-532-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	NAVAL MEDICAL CENTER GENERAL SURGERY DEPT
Second Line	:	34730 BOB WILSON DR. STE 400
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-3400
Country	:	US
Telephone Number	:	619-532-7575
Fax Number	:

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	02/09/2022

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