MEDICARE: DR. CHRISTY LYNN JONES PHD

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	174400000X	Specialist	2132	NC

General Provider Information

NPI Number	:	1841279726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTY LYNN JONES PHD

Provider Business Mailing Address
First Line	:	7655 MARKET ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-9458
Country	:	US
Telephone Number	:	910-681-3880
Fax Number	:	910-681-3885

Provider Business Practice Location Address
First Line	:	7655 MARKET ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-9458
Country	:	US
Telephone Number	:	910-681-3880
Fax Number	:	910-681-3885

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/08/2007

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