Edward Johnson Jones III, MD
Internal Medicine in Moncks Corner, SC. Individual provider (NPI-1).
NPI number1669424487
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1669424487
- Entity type
- Individual (NPI-1)
- Name
- Edward Johnson Jones III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2006
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 22048 | SC | Yes |
| 208000000X | Pediatrics | 22048 | SC |
Practice location
115 Executive ParkwayMoncks Corner, SC 29461
Phone 843-761-2815 · Fax 843-869-8034
Mailing address
Po Box 530062Atlanta, GA 30353-0062
Phone 843-695-6071 · Fax 843-569-5879
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