Provider Demographics
NPI:1285006056
Name:JONES, CAROLYN STRONG
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:STRONG
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3983 MOUNT TABOR RD
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-6189
Mailing Address - Country:US
Mailing Address - Phone:910-705-0029
Mailing Address - Fax:
Practice Address - Street 1:3983 MOUNT TABOR RD
Practice Address - Street 2:
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377-6189
Practice Address - Country:US
Practice Address - Phone:910-705-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist