Provider Demographics
NPI:1548419203
Name:JONES, COURTNEY CRAWFORD (MD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CRAWFORD
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:CRAWFORD
Other - Last Name:FLORENZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:101 E WOOD ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-7025
Practice Address - Fax:864-560-7388
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.094905207P00000X
SC33387207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC333874Medicaid
SCP01122406OtherRAILROAD MEDICARE
SC439017OtherUNITED HEALTH CARE/ UNISON
SCNPI # / SSN#OtherPREFERRED BLUE, STATE HEALTH PLAN, MEDICARE ADVANTAGE
GA003111111AMedicaid
SC30099060OtherSELECT HEALTH-FIRST CHOICE
SC30099060OtherSELECT HEALTH-FIRST CHOICE