Individual
DR. GRENVILLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
361 OLD BELGRADE RD, AUGUSTA, ME 04330-8058
(207) 873-6034
(207) 872-9136
Mailing address
PO BOX 608, WATERVILLE, ME 04903-0608
(207) 873-6034
(207) 872-9136
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
015280
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038732
BCBS
ME
05
—
305950099
—
MA
01
—
MM8492
MEDICARE
MA
Enumeration date
09/14/2006
Last updated
02/04/2014
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