Individual
MR. JACK R JONES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO BOCO
Contact information
Practice address
611 N LINDSAY STREET, SUITE 200, HIGH POINT, NC 27262-4318
(336) 802-2250
(336) 802-2251
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
065257
NC
222Z00000X
Orthotist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795044
—
NC
Enumeration date
09/05/2007
Last updated
03/14/2011
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