Individual
CORY WYATT JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6883
(803) 434-8450
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56409
TN
208000000X
Pediatrics Physician
56409
TN
2080P0206X
Pediatric Gastroenterology Physician
Primary
86455
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2015
Last updated
08/17/2021
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