Individual
DR. KEITH A. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
122 S 4TH ST, HARTSVILLE, SC 29550-4220
(843) 332-8323
Mailing address
122 S 4TH ST, HARTSVILLE, SC 29550-4220
(843) 332-8323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1243
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12430
—
SC
Enumeration date
05/04/2006
Last updated
12/30/2007
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