Doctor Name: | DR. KADIJAH JONES |
NPI Number: | 1518988294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 21337 |
Business Practice Address: | 1115 State Street Cayce, SC - 29033 |
Business Phone Number: | 8039390174 |
Business Fax Number: | 8032170282 |
Mailing Address: | 1115 State Street, CAYCE |
State: | SC |
Postal Code: | 29033 |
Phone Number: | 8039390174 |
Fax Number: | 8032170282 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 21337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |