Individual
CHARLES FREDERICK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,.
Contact information
Practice address
610 PROVIDENCE PARK DR E, BLDG. 2, SUITE 202, MOBILE, AL 36695-4622
(251) 635-0919
(251) 635-0924
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 635-0919
(251) 635-0924
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00008808
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201366
UNITED HEALTHCARE PROV #
AL
01
—
4006611
AETNA PROVIDER #
AL
01
—
51532641
BLUE CROSS PROVIDER #
AL
01
—
C75191
HEALTHSPRING PROVIDER #
AL
Enumeration date
01/30/2006
Last updated
11/19/2007
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