# DR. SAMUEL OTTERSON JONES IV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578632550
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 21364 | AL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 55695 | TN | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | N0142 | TX | — |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 07/21/2022
