Organization
STACY D JONES MEDICAL GROUP LLC
Active
Other names
Stacy D Jones MD
Organization subpart
No
Provider details
NPI number
Authorized official
STACY D JONES MD (OWNER)
(225) 381-2727
Entity
Organization
Contact information
Practice address
3401 NORTH BLVD, 130, BATON ROUGE, LA 70806-3743
(225) 381-2727
Mailing address
PO BOX 64680, BATON ROUGE, LA 70896-4680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091782
—
LA
Enumeration date
10/29/2008
Last updated
01/29/2010
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