Individual
DOUGLAS EDGAR JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6005 PARK AVENUE, SUITE 307, MEMPHIS, TN 38119-5213
(901) 682-0004
(901) 680-8218
Mailing address
6005 PARK AVE #307, MEMPHIS, TN 38119
(901) 682-0004
(901) 680-8218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD18524
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD18524
TN
208VP0000X
Pain Medicine Physician
Primary
MD18524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031241
—
TN
Enumeration date
10/19/2006
Last updated
07/16/2015
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