Provider Demographics
NPI:1164510681
Name:JONES, HERBERT CHAPMAN (MD)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:CHAPMAN
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:H.
Other - Middle Name:CHAPMAN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2600 MARTIN LUTHER KING JR DR SW
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-1636
Mailing Address - Country:US
Mailing Address - Phone:404-691-7460
Mailing Address - Fax:404-691-7479
Practice Address - Street 1:2600 MARTIN LUTHER KING JR DR SW
Practice Address - Street 2:SUITE 204
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-1636
Practice Address - Country:US
Practice Address - Phone:404-691-7460
Practice Address - Fax:404-691-7479
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA38263207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA581158044OtherTAX ID
GA000612114AMedicaid
GA000612114AMedicaid
GA581158044OtherTAX ID