Individual
PHILLIP EDWARD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
12788
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015920
—
MS
05
—
09015894
—
MS
01
—
3191589
CIGNA
MS
01
—
5153241
AETNA
MS
Enumeration date
07/17/2006
Last updated
11/08/2019
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