Individual
BENJAMIN A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
200 PATEWOOD DR STE A140, GREENVILLE, SC 29615-3585
(864) 454-5125
(864) 241-9201
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
876
SC
208000000X
Pediatrics Physician
000876
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0377
—
SC
Enumeration date
05/16/2006
Last updated
03/22/2018
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