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NPI Code Detail

MEDICARE: MR. PAUL ANDREW JONES P.T.

MEDICARE: MR. PAUL ANDREW JONES P.T.
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
1225100000XPhysical Therapist01165FLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H3749OTHERLABCBS MEMBER #

General Provider Information

NPI Number : 1639279623
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL ANDREW JONES P.T.
Provider Business Mailing Address
First Line : 389 HIGHWAY 21
Second Line : STE.403
City : MADISONVILLE
State : LA
Zip : 70447-3407
Country : US
Telephone Number : 985-792-5996
Fax Number :
Provider Business Practice Location Address
First Line : 389 HIGHWAY 21
Second Line : STE.403
City : MADISONVILLE
State : LA
Zip : 70447-3407
Country : US
Telephone Number : 985-792-5996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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