Individual
DR. GEORGE R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 SUNSET DR, MANNING, SC 29102-2904
(803) 435-4447
(803) 435-9092
Mailing address
107 SUNSET DR, MANNING, SC 29102-2904
(803) 435-4447
(803) 435-9092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20-08848
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088489
—
SC
05
—
GP1535
—
SC
Enumeration date
01/11/2007
Last updated
07/09/2007
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