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Individual

MR. CHRISTOPHER TODD JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 SUTTON RD S STE 201, FORT MILL, SC 29715-8439
(803) 328-1864
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
TL39407
SC
207Y00000X
Otolaryngology Physician
Primary
29407
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102138
WELLCARE
SC
01
1506259
COVENTRY
NC
05
294078
SC
01
AA17665874
MEDICARE
SC
01
NCE466A
MEDICARE
NC
Enumeration date
10/17/2006
Last updated
12/13/2024
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