Provider Demographics
NPI:1326035056
Name:JONES, CHARLES WADE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WADE
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1509
Mailing Address - Street 2:200 HOSPITAL AVE SUITE 5
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-1509
Mailing Address - Country:US
Mailing Address - Phone:336-246-7779
Mailing Address - Fax:336-846-8370
Practice Address - Street 1:200 HOSPITAL AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9244
Practice Address - Country:US
Practice Address - Phone:336-246-7779
Practice Address - Fax:336-846-8370
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2021-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9700607208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC208188753 0002OtherCIGNA HEALTHCARE
NC249899OtherANTHEM BC
NC891046LMedicaid
NC81528OtherMEDCOST
NC26782OtherPARTNERS
NCP00182199OtherRR MEDICARE
NC1046LOtherBCBS NC
G51519Medicare UPIN
NC26782OtherPARTNERS
NC2235228Medicare PIN