Provider Demographics
NPI:1447575212
Name:JONES, CHARLES DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DOUGLAS
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11210 ASHEVILLE HWY
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-6786
Mailing Address - Country:US
Mailing Address - Phone:864-472-0901
Mailing Address - Fax:864-472-0902
Practice Address - Street 1:945 E MAIN ST
Practice Address - Street 2:SUITE # 5
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-2119
Practice Address - Country:US
Practice Address - Phone:864-542-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor