Individual
DR. STANLEY D. JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
391 PEACHTREE ST, JESUP, GA 31545-0245
(912) 530-7337
(912) 530-7339
Mailing address
391 PEACHTREE STREET, JESUP, GA 31545-0245
(912) 530-7337
(912) 530-7339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047607
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000836459A
—
GA
01
—
10059192
AMERIGROUP
GA
01
—
342398
WELLCARE
GA
Enumeration date
01/25/2006
Last updated
11/05/2021
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