Provider Demographics
NPI:1508966599
Name:DEWEY H. JONES, IV, M.D.,LLC
Entity Type:Organization
Organization Name:DEWEY H. JONES, IV, M.D.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DEWEY
Authorized Official - Middle Name:HOBSON
Authorized Official - Last Name:JONES
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:205-870-1498
Mailing Address - Street 1:3105 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4111
Mailing Address - Country:US
Mailing Address - Phone:205-870-1498
Mailing Address - Fax:205-871-2851
Practice Address - Street 1:3105 INDEPENDENCE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4111
Practice Address - Country:US
Practice Address - Phone:205-870-1498
Practice Address - Fax:205-871-2851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21829207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0009933375Medicaid
ALH21765Medicare UPIN