Provider Demographics
NPI:1346237096
Name:JONES, EDD C III (MD)
Entity Type:Individual
Prefix:DR
First Name:EDD
Middle Name:C
Last Name:JONES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:182 PERRY HOUSE RD STE H
Mailing Address - Street 2:
Mailing Address - City:FITZGERALD
Mailing Address - State:GA
Mailing Address - Zip Code:31750-8721
Mailing Address - Country:US
Mailing Address - Phone:229-520-5196
Mailing Address - Fax:229-349-6460
Practice Address - Street 1:182 PERRY HOUSE RD STE H
Practice Address - Street 2:
Practice Address - City:FITZGERALD
Practice Address - State:GA
Practice Address - Zip Code:31750-8721
Practice Address - Country:US
Practice Address - Phone:229-520-5196
Practice Address - Fax:229-349-6460
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-28
Last Update Date:2019-05-07
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Provider Licenses
StateLicense IDTaxonomies
GA33123207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA110046348OtherRR MCARE
GA00427798AMedicaid
GA110046348OtherRR MCARE
GA08BDBZBMedicare PIN