| Timothy John Jones | |
|
2270 Ashley Crossing Dr. Suite 190 Charleston SC 29414-5749 | |
| (843) 766-8220 | |
| (843) 766-8230 |
| Full Name | Timothy John Jones |
|---|---|
| Speciality | Internal Medicine |
| Location | 2270 Ashley Crossing Dr., Charleston, South Carolina |
| Authorized Official Name and Position | Timothy J. Jones (PRESIDENT) |
| Authorized Official Contact | 8437668220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy John Jones 2270 Ashley Crossing Dr. Suite 190 Charleston SC 29414-5749 Ph: (843) 766-8220 | Timothy John Jones 2270 Ashley Crossing Dr. Suite 190 Charleston SC 29414-5749 Ph: (843) 766-8220 |
| NPI Number | 1699038364 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 1254587256 |
|---|---|
| Medicare Enrollment ID | O20120807000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699038364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16178 (South Carolina) | Primary |
| Provider Name | Timothy J Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689613101 PECOS PAC ID: 6901956499 Enrollment ID: I20090603000444 |
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