Organization
JONES FAMILY MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY M ALLRED RHIT (OFFICE MANAGER)
(662) 840-0990
Entity
Organization
Contact information
Practice address
1200 N GLOSTER ST, TUPELO, MS 38804-1206
(662) 840-0990
(662) 840-0182
Mailing address
1200 N GLOSTER ST, TUPELO, MS 38804-1206
(662) 840-0990
(662) 840-0182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00015920
MEDICAID INDIVIDUAL PHIL JONES
MS
01
—
001204741
MEDICAID TAMMIE WATERS INDIVIDUAL
MS
01
—
080002925
MEDICARE PTAN PHIL JONES INDIVIDUAL
MS
01
—
080136332
RAILROAD MEDICARE PTAN PHIL JONES
MS
05
—
09015894
—
MS
01
—
12788
PHILLIP JONES, MD LISCENS
MS
01
—
1346446705
NPI JONES FAMILY MEDICAL CLINIC, PLLC
MS
01
—
1659399723
JONES NPI INDIVIDUAL
—
01
—
1770636243
NPI TAMMIE WATERS INDIVIDUAL
MS
01
—
302G080670
MEDICARE PTAN
MS
01
—
425198301A
JONES BCBS
MS
01
—
DS1903
RAILROAD MEDICARE GROUP
MS
01
—
P01004732
RAILROAD MEDICARE TAMMIE WATERS IND
—
01
—
R574929
LISCENSE TAMMIE WATERS
MS
Enumeration date
06/22/2007
Last updated
09/12/2014
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