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Individual

MR. WAYNE A JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25442 AL HIGHWAY 127, ELKMONT, AL 35620-6608
(256) 732-3712
(256) 732-3714
Mailing address
PO BOX 449, ELKMONT, AL 35620-0449
(256) 732-3712
(256) 732-3714

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00019353
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000010189
AL
05
009922300
AL
05
009936307
AL
01
051010189
BCBS PROVIDER NUMBER
AL
01
051010196
BCBS
AL
01
5166653
AETNA
AL
Enumeration date
09/21/2005
Last updated
12/14/2021
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