Individual
MR. WILLIE MARK JONES IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, RRT, RCP, CFTS
Contact information
Practice address
312 ACADEMY ST S, AHOSKIE, NC 27910-3200
(252) 532-2582
(252) 519-1180
Mailing address
107 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4911
(252) 532-2582
(252) 410-0743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CFTS1590
NC
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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