Individual
KEITH O JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20218
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05529869
—
MS
01
—
300002201
US DEPT OF LABOR
—
01
—
753068151
UHC
—
01
—
753068151014
TRICARE
—
01
—
PGY4
RESIDENT
MS
Enumeration date
08/30/2007
Last updated
03/28/2018
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