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NPI Code Detail

MEDICARE: ZAUNDRA E. JONES M.D.

MEDICARE: ZAUNDRA E. JONES M.D.
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 Physician27526SC

Other Identifiers

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

General Provider Information

NPI Number : 1902803224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZAUNDRA E. JONES M.D.
Provider Business Mailing Address
First Line : 4615 OLEANDER DR
Second Line : SUITE 201A
City : MYRTLE BEACH
State : SC
Zip : 29577-5741
Country : US
Telephone Number : 843-449-9559
Fax Number : 843-497-6601
Provider Business Practice Location Address
First Line : 4591 SOCASTEE BLVD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-7209
Country : US
Telephone Number : 843-497-5929
Fax Number : 843-293-1115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 10/17/2011

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