Provider Demographics
NPI:1912218231
Name:JONES, GEORGE PIERCE IV (PA)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:PIERCE
Last Name:JONES
Suffix:IV
Gender:
Credentials:PA
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Mailing Address - Street 1:PO BOX 100237
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0237
Mailing Address - Country:US
Mailing Address - Phone:352-392-4541
Mailing Address - Fax:352-294-8519
Practice Address - Street 1:110 HEALTH PARK BLVD
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5776
Practice Address - Country:US
Practice Address - Phone:904-823-3401
Practice Address - Fax:904-829-8649
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2025-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9105498363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant