MEDICARE: COUNTY OF JONES

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	261QP0905X	State or Local Public Health Clinic/Center		NC

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

General Provider Information

NPI Number	:	1851496269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF JONES

Provider Business Mailing Address
First Line	:	418 NC HIGHWAY 58 N UNIT C
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-9619
Country	:	US
Telephone Number	:	252-448-9111
Fax Number	:	252-448-1670

Provider Business Practice Location Address
First Line	:	418 NC HIGHWAY 58 N UNIT C
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-9619
Country	:	US
Telephone Number	:	252-448-9111
Fax Number	:	252-448-1443

Authorized Official
Title or Position	:	HEALTH DIRECTOR
Name	:	ADRIAN SMITH
Credential	:
Telephone Number	:	252-448-9111

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	08/28/2024

Similar Medicare Providers

1467692889 — MS. JANET D TILLMAN FNP-BC
Practice Location Address:

418 HIGHWAY 58 NORTH UNIT C
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Practice Fax:

1780687764 — MRS. CONNIE GRAY CARLTON M.A.ED.,M.S.,CCC-SLP
Practice Location Address:

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1235158213 — REALO DISCOUNT DRUG STORES INC
Practice Location Address:

125 W JONES ST
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1962422105 — DR. PAIGE L HAMILTON PHARM.D., R.PH.
Practice Location Address:

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1386652105 — DR. KAREN PATRICIA SHELTON D.O.
Practice Location Address:

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1528172806 — DR. GEORGE WELDON DAVENPORT DC
Practice Location Address:

1029 HWY 58N
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Practice Fax:

Directions to “COUNTY OF JONES ” Practice Location

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