Provider Demographics
NPI:1225106420
Name:JONES, MYRON B (MD)
Entity Type:Individual
Prefix:DR
First Name:MYRON
Middle Name:B
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:925 N POINT PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5210
Mailing Address - Country:US
Mailing Address - Phone:678-206-2589
Mailing Address - Fax:678-261-1713
Practice Address - Street 1:1050 EAGLES LANDING PKWY
Practice Address - Street 2:STE 202
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9018
Practice Address - Country:US
Practice Address - Phone:678-206-2424
Practice Address - Fax:678-783-1376
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2016-12-02
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Provider Licenses
StateLicense IDTaxonomies
GA052076207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G83030Medicare UPIN
04BDCLQMedicare ID - Type Unspecified