| Kenneth Wayne Jones Jr, MD | |
|
424 N Main St, Cedartown, GA 30125-2644 | |
| (770) 748-2500 | |
| Not Available |
| Full Name | Kenneth Wayne Jones Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 424 N Main St, Cedartown, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174567168 | NPI | - | NPPES |
| 000475307F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 31037 (Georgia) | Primary |
| Entity Name | Georgia Hospitalists Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
| Entity Name | Etowah Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962944900 PECOS PAC ID: 1456635697 Enrollment ID: O20170307000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Wayne Jones Jr, MD 7 Huntington Rd Sw, Rome, GA 30165-6660 Ph: (706) 234-4479 | Kenneth Wayne Jones Jr, MD 424 N Main St, Cedartown, GA 30125-2644 Ph: (770) 748-2500 |
Michael C Gaddy, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 N Main St, Cedartown, GA 30125 Phone: 770-748-2500 | |
Norberto Rosado, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 N Main St, Cedartown, GA 30125 Phone: 770-748-2500 |