Provider Demographics
NPI:1588873780
Name:JONES, PAUL W (DPM)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:JONES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:4761 HIGHWAY 10
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:LA
Mailing Address - Zip Code:70748-3509
Mailing Address - Country:US
Mailing Address - Phone:225-634-2530
Mailing Address - Fax:225-634-4057
Practice Address - Street 1:4739 HIGHWAY 10
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:LA
Practice Address - Zip Code:70748-3509
Practice Address - Country:US
Practice Address - Phone:225-634-5265
Practice Address - Fax:225-634-4057
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LADPM.PD147R213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist