Provider Demographics
NPI:1386686392
Name:JONES, JOHN HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HAROLD
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 1:805 LAKEWOOD DR. NW
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35967-8262
Mailing Address - Country:US
Mailing Address - Phone:662-616-4038
Mailing Address - Fax:
Practice Address - Street 1:380 WOODS COVE ROAD
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768
Practice Address - Country:US
Practice Address - Phone:256-218-3834
Practice Address - Fax:256-218-3579
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20735207Q00000X
AL26160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS20735OtherMS STATE LICENSE
MS20735OtherMS STATE LICENSE