Individual
DR. EDD C JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
182 PERRY HOUSE RD STE H, FITZGERALD, GA 31750-8721
(229) 520-5196
(229) 349-6460
Mailing address
182 PERRY HOUSE RD STE H, FITZGERALD, GA 31750-8721
(229) 520-5196
(229) 349-6460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00427798A
—
GA
01
—
110046348
RR MCARE
GA
Enumeration date
09/28/2005
Last updated
05/07/2019
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