MEDICARE: JULIA DAWN JONES LAC

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	171100000X	Acupuncturist	605	NC

General Provider Information

NPI Number	:	1730466582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA DAWN JONES LAC

Provider Business Mailing Address
First Line	:	264 CRAGMONT RD
Second Line	:
City	:	BLACK MOUNTAIN
State	:	NC
Zip	:	28711-2813
Country	:	US
Telephone Number	:	828-337-0803
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 CARL ELLER RD
Second Line	:
City	:	MARS HILL
State	:	NC
Zip	:	28754-6000
Country	:	US
Telephone Number	:	828-337-0803
Fax Number	:

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

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	11/08/2011

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