Organization
CHARLES W JONES MD PA ENDOSCOPY SUITE
Active
Parent organization
CHARLES W JONES MD PA
Other names
Charles W Jones MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES W JONES MD PA
Authorized official
CHARLES W JONES MD (OWNER)
(336) 246-7779
Entity
Organization
Contact information
Practice address
200 HOSPITAL AVE, SUITE 5, JEFFERSON, NC 28640-9244
(336) 246-7779
(336) 846-8370
Mailing address
200 HOSPITAL AVE, SUITE 5, JEFFERSON, NC 28640-9244
(336) 246-7779
(336) 846-8370
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9700607
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81528
MEDCOST
NC
Enumeration date
12/16/2008
Last updated
12/16/2008
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