Provider Demographics
NPI:1669481537
Name:JONES, WILLIAM D (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 PINE ST
Mailing Address - Street 2:SUITE #301
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-0165
Mailing Address - Country:US
Mailing Address - Phone:334-265-5577
Mailing Address - Fax:334-265-5584
Practice Address - Street 1:1801 PINE ST
Practice Address - Street 2:SUITE #301
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-0165
Practice Address - Country:US
Practice Address - Phone:334-265-5577
Practice Address - Fax:334-265-5584
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H37222Medicare UPIN