Individual
CYNTHIA MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1114 N MAIN ST, SUMMERVILLE, SC 29483-7326
(843) 212-8070
(843) 212-8071
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28735
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287353
—
SC
01
—
P01157484
RR MEDICARE
SC
Enumeration date
06/23/2006
Last updated
09/27/2023
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