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NPI Code Detail

MEDICARE: DR. BERNARD LEE JONES JR. MD

MEDICARE: DR. BERNARD LEE JONES JR. MD
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
1207Q00000XFamily Medicine Physician12648SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730164229
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BERNARD LEE JONES JR. MD
Provider Business Mailing Address
First Line : 1075 N FRASER ST
Second Line : GEORGETOWN HEALTH GROUP
City : GEORGETOWN
State : SC
Zip : 29440-2848
Country : US
Telephone Number : 843-527-4442
Fax Number : 843-527-4027
Provider Business Practice Location Address
First Line : 701 S MORGAN AVE
Second Line :
City : ANDREWS
State : SC
Zip : 29510-2959
Country : US
Telephone Number : 843-264-5253
Fax Number : 843-264-5970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 10/27/2025

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