Organization
CHARLES W JONES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W JONES MD (OWNER)
(336) 246-7779
Entity
Organization
Contact information
Practice address
200 HOSPITAL AVE STE 5, JEFFERSON, NC 28640-9244
(336) 246-7779
(336) 846-8370
Mailing address
PO BOX 1509, 200 HOSPITAL AVE SUITE 5, JEFFERSON, NC 28640-1509
(336) 246-7779
(336) 846-8370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9700607
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046L
BCBS NC #
NC
01
—
26782
PARTNERS MEDICARE #
NC
01
—
81528
MEDCOST
NC
05
—
891046L
—
NC
01
—
P00182199
RAILROAD MEDICARE
NC
Enumeration date
01/30/2007
Last updated
04/20/2008
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