Provider Demographics
NPI:1699279224
Name:JONES, ADRIENNE N (MD)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:N
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 HEMLOCK ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-8323
Mailing Address - Country:US
Mailing Address - Phone:478-744-9683
Mailing Address - Fax:478-744-9824
Practice Address - Street 1:682 HEMLOCK ST STE 300
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8310
Practice Address - Country:US
Practice Address - Phone:478-744-9683
Practice Address - Fax:478-744-9824
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010606207R00000X
390200000X
GA91979207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program