Individual
MR. FREDRICK DWAYNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 DERYLL ST, JACKSON, MS 39212-3924
(601) 918-6415
(601) 510-9850
Mailing address
PO BOX 6561, JACKSON, MS 39282-6561
(601) 918-6415
(601) 510-9850
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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