Individual
LINDA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E. SHOTWELL ST., MEMORIAL HOSPITAL & MANOR, BAINBRIDGE, GA 39819
(229) 243-6200
(229) 243-3317
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
030111
GA
207P00000X
Emergency Medicine Physician
MD36814
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00359983D
—
GA
01
—
030111
MEDICAL LICENSE
GA
01
—
4064531
BLUE CROSS
TN
Enumeration date
05/22/2006
Last updated
09/13/2017
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