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NPI Code Detail

MEDICARE: WILLIAM D JONES JR.

MEDICARE: WILLIAM D JONES JR.
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
12251X0800XOrthopedic Physical Therapist2449GA

General Provider Information

NPI Number : 1689612814
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM D JONES JR.
Provider Business Mailing Address
First Line : PO BOX 547
Second Line :
City : FORTSON
State : GA
Zip : 31808-0547
Country : US
Telephone Number : 706-565-0875
Fax Number :
Provider Business Practice Location Address
First Line : 6262 VETERANS PKWY
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3540
Country : US
Telephone Number : 706-494-3122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 07/08/2007

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