MEDICARE: JONES MEDICAL

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	370017	OTHER	GA	WELLCARE

General Provider Information

NPI Number	:	1790904381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONES MEDICAL

Provider Business Mailing Address
First Line	:	PO BOX 20314
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31205-0314
Country	:	US
Telephone Number	:	478-784-7941
Fax Number	:

Provider Business Practice Location Address
First Line	:	883 FULTON ST
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31206-1817
Country	:	US
Telephone Number	:	478-784-7941
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALBERT JONES JR.
Credential	:
Telephone Number	:	478-784-7941

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	04/01/2008

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Directions to “JONES MEDICAL ” Practice Location

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