Provider Demographics
NPI:1124129036
Name:JONES-MCCAW, KATHRYN AMANDA (DC)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:AMANDA
Last Name:JONES-MCCAW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7245 ST ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212
Mailing Address - Country:US
Mailing Address - Phone:803-781-8866
Mailing Address - Fax:803-781-8868
Practice Address - Street 1:7245 ST ANDREWS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212
Practice Address - Country:US
Practice Address - Phone:803-781-8866
Practice Address - Fax:803-781-8868
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor