# CLARENCE L JONES MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306976352
- **Authorized official:** DR. CLARENCE L JONES JR. M. D. (DOCTOR)
- **Authorized official phone:** (931) 526-7104

## Contact information

- **Practice address:** 222 N OAK AVE, COOKEVILLE, TN 38501-2438
- **Practice address phone:** (931) 526-7104
- **Practice address fax:** (931) 526-7105
- **Mailing address:** 222 N OAK AVE, COOKEVILLE, TN 38501-2438
- **Mailing address phone:** (931) 526-7104
- **Mailing address fax:** (931) 526-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 09/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2004047 | BCBS | TN |