Individual
LISTON STEPHEN JONES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MEMORIAL HOSPITAL DR, SUITE 200, MOBILE, AL 36608-1753
(251) 414-5900
(251) 281-1162
Mailing address
PO BOX 160928, MOBILE, AL 36616-1928
(251) 414-5900
(251) 342-3842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00006675
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000018020
—
AL
01
—
0410322
UNITED HEALTHCARE
AL
01
—
051018020
BCBS
AL
Enumeration date
07/13/2005
Last updated
09/19/2011
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