Individual
ANGELA C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1407 S MAIN ST, POPLARVILLE, MS 39470-3369
(601) 795-0659
(601) 795-8639
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 795-0659
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18351
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01959867
—
MS
05
—
1782262
—
LA
01
—
640507572ZY
AMERICAN ADMIN GROUP
MS
Enumeration date
08/18/2006
Last updated
07/20/2020
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