Individual
DR. KADIJAH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 STATE STREET, CAYCE, SC 29033
(803) 939-0174
(803) 217-0282
Mailing address
1115 STATE STREET, CAYCE, SC 29033
(803) 939-0174
(803) 217-0282
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213370
—
SC
Enumeration date
07/21/2006
Last updated
03/01/2011
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