Provider Demographics
NPI:1225428949
Name:JONES, PERRY SCOTT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:SCOTT
Last Name:JONES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12605 GA HIGHWAY 315
Mailing Address - Street 2:
Mailing Address - City:CATAULA
Mailing Address - State:GA
Mailing Address - Zip Code:31804-3541
Mailing Address - Country:US
Mailing Address - Phone:706-326-1972
Mailing Address - Fax:
Practice Address - Street 1:4231 MACON RD
Practice Address - Street 2:FOUNTAIN PARK SHOPPING CENTER
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-8330
Practice Address - Country:US
Practice Address - Phone:706-563-6844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH025350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist