Provider Demographics
NPI:1558312017
Name:JONES, ALAN MILLARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:MILLARD
Last Name:JONES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31546-4643
Mailing Address - Country:US
Mailing Address - Phone:912-427-2254
Mailing Address - Fax:912-427-8788
Practice Address - Street 1:106 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31546-4643
Practice Address - Country:US
Practice Address - Phone:912-427-2254
Practice Address - Fax:912-427-8788
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist