Provider Demographics
NPI:1114237799
Name:JONES, DENNIS ESSIE III (MPA, PA-C)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:ESSIE
Last Name:JONES
Suffix:III
Gender:M
Credentials:MPA, PA-C
Other - Prefix:
Other - First Name:DENNIS
Other - Middle Name:ESSIC
Other - Last Name:JONES
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MPA, PA-C
Mailing Address - Street 1:811 13TH STREET
Mailing Address - Street 2:SUITE 10
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901
Mailing Address - Country:US
Mailing Address - Phone:706-434-1590
Mailing Address - Fax:706-434-1595
Practice Address - Street 1:811 13TH STREET
Practice Address - Street 2:SUITE 10
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901
Practice Address - Country:US
Practice Address - Phone:706-434-1590
Practice Address - Fax:706-434-1595
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5985363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant