Individual
EDWARD JOHNSON JONES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22048
SC
208000000X
Pediatrics Physician
22048
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080157309
MEDICARE RAIL ROAD
SC
05
—
AA59077126
—
SC
05
—
T62189
—
SC
Enumeration date
05/17/2006
Last updated
06/29/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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