Provider Demographics
NPI:1194724914
Name:JONES, ROBERT PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PATRICK
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 EISENHOWER DR
Mailing Address - Street 2:BLDG. 16
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2632
Mailing Address - Country:US
Mailing Address - Phone:912-303-3500
Mailing Address - Fax:912-303-3509
Practice Address - Street 1:310 EISENHOWER DR
Practice Address - Street 2:BLDG. 16
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2632
Practice Address - Country:US
Practice Address - Phone:912-303-3500
Practice Address - Fax:912-303-3509
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031451208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000382698BMedicaid
GA615965OtherBCBS
SCG31451Medicaid
GA000382698BMedicaid
GA37BBFRZMedicare ID - Type Unspecified