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Individual

DR. JOHNNIE EARL JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1261 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 323-1626
(910) 323-9056
Mailing address
1261 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 323-1626
(910) 323-9056

Taxonomy

Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
24426
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1D8947138
NC
Enumeration date
04/25/2007
Last updated
07/08/2007
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