Provider Demographics
NPI:1003026733
Name:JONES, JULIANNE PRICE
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:PRICE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 KNOX ABBOTT DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-3346
Mailing Address - Country:US
Mailing Address - Phone:803-796-7421
Mailing Address - Fax:803-796-7422
Practice Address - Street 1:989 KNOX ABBOTT DR
Practice Address - Street 2:SUITE 400
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-3346
Practice Address - Country:US
Practice Address - Phone:803-796-7421
Practice Address - Fax:803-796-7422
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1304225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics