Doctor Name: | DR. JASON MATTHEW JONES |
NPI Number: | 1891906905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2010-01103 |
Business Practice Address: | 609 Richlands Hwy Ste 6 Jacksonville, NC - 285403605 |
Business Phone Number: | 9104557888 |
Business Fax Number: | 9104551907 |
Mailing Address: | 101 Manning Dr, Rm 1107 G - West Wing CHAPEL HILL |
State: | NC |
Postal Code: | 275144220 |
Phone Number: | 9199661072 |
Fax Number: | 9199660290 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2010-01103 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |