Provider Demographics
NPI:1114552999
Name:ANGELA JONES, MD, PC
Entity Type:Organization
Organization Name:ANGELA JONES, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-440-6322
Mailing Address - Street 1:1813 W HARVARD AVE STE 423
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-8712
Mailing Address - Country:US
Mailing Address - Phone:541-440-6322
Mailing Address - Fax:541-440-6399
Practice Address - Street 1:1813 W HARVARD AVE STE 423
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-8712
Practice Address - Country:US
Practice Address - Phone:541-440-6322
Practice Address - Fax:541-440-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty