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Individual

DR. CHARLES WADE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HOSPITAL AVE, SUITE 5, JEFFERSON, NC 28640-9244
(336) 246-7779
(336) 846-8370
Mailing address
PO BOX 1509, 200 HOSPITAL AVE SUITE 5, JEFFERSON, NC 28640-1509
(336) 246-7779
(336) 846-8370

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9700607
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1046L
BCBS NC
NC
01
208188753 0002
CIGNA HEALTHCARE
NC
01
249899
ANTHEM BC
NC
01
26782
PARTNERS
NC
01
81528
MEDCOST
NC
05
891046L
NC
01
P00182199
RR MEDICARE
NC
Enumeration date
09/27/2005
Last updated
08/18/2021
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