Individual
DR. MARY SUSAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
897 VON KOLNITZ RD, SUITE 101, MT PLEASANT, SC 29464-3238
(843) 881-1671
(843) 881-1433
Mailing address
897 VON KOLNITZ RD, SUITE 101, MT PLEASANT, SC 29464-3238
(843) 881-1671
(843) 881-1433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11447
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236859
RR MCARE
—
05
—
114478
—
SC
Enumeration date
03/02/2006
Last updated
06/08/2010
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