Individual
SHUNTE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 75473, BALTIMORE, MD 21275-5473
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18182
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03377578
—
MS
05
—
1421171
—
LA
01
—
202011213A
BLUE CROSS
MS
01
—
P00259266
RAILROAD MEDICARE
MS
Enumeration date
06/16/2006
Last updated
04/21/2009
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