Individual
MS. BEVERLY GAYE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
(803) 909-7300
(803) 909-7397
Mailing address
642 ELM RD, CHESTER, SC 29706
(803) 581-1554
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
P3004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P30051
—
SC
Enumeration date
03/24/2014
Last updated
03/24/2014
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