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NPI Code Detail

MEDICARE: DR. NATHAN PATRICK JONES M.D.

MEDICARE: DR. NATHAN PATRICK 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
1207ND0101XMOHS-Micrographic Surgery Physician30586SC
2207N00000XDermatology Physician30586SC

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 : 1528245560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN PATRICK JONES M.D.
Provider Business Mailing Address
First Line : 7410 HIGHWAY 707
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-7304
Country : US
Telephone Number : 843-215-1100
Fax Number : 843-215-1211
Provider Business Practice Location Address
First Line : 7410 HIGHWAY 707
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-7304
Country : US
Telephone Number : 843-215-1100
Fax Number : 843-215-1211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2008
Last Update Date : 10/30/2025

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