Provider Demographics
NPI:1205218229
Name:JONES-PRIZER, MARY BETH (LAC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:JONES-PRIZER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:BETH
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:242 CRAVEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-2152
Mailing Address - Country:US
Mailing Address - Phone:252-658-4661
Mailing Address - Fax:
Practice Address - Street 1:242 CRAVEN ST
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-2152
Practice Address - Country:US
Practice Address - Phone:910-494-2649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAC-832171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist