Provider Demographics
NPI:1285664722
Name:JONES, STEPHEN C (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 N 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2540
Mailing Address - Country:US
Mailing Address - Phone:843-841-3825
Mailing Address - Fax:843-841-3830
Practice Address - Street 1:706 N 8TH AVE
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2540
Practice Address - Country:US
Practice Address - Phone:843-841-3825
Practice Address - Fax:843-841-3830
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS16203207V00000X
SC17229207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00126510Medicaid
MS16000578Medicare ID - Type Unspecified
MS00126510Medicaid