| C J Jones Enterprises Pa | |
|
709 Old Trolley Rd Summerville SC 29485-5203 | |
| (843) 900-6767 | |
| (843) 285-5916 |
| Full Name | C J Jones Enterprises Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 709 Old Trolley Rd, Summerville, South Carolina |
| Authorized Official Name and Position | Christopher J Jones (OWNER) |
| Authorized Official Contact | 8439006767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C J Jones Enterprises Pa 709 Old Trolley Rd Summerville SC 29485-5203 Ph: (843) 900-6767 | C J Jones Enterprises Pa 709 Old Trolley Rd Summerville SC 29485-5203 Ph: (843) 900-6767 |
| NPI Number | 1033245634 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 03/06/2024 |
| Certification Date | 06/06/2022 |
| Medicare PECOS PAC ID | 6901977792 |
|---|---|
| Medicare Enrollment ID | O20080623000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033245634 | NPI | - | NPPES |
| GP4141 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16243 (South Carolina) | Primary |
| Provider Name | Christopher John Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669407847 PECOS PAC ID: 6608773791 Enrollment ID: I20031217000222 |
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