Provider Demographics
NPI:1710921481
Name:JONES, ZOE J (MD)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:J
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 HEMLOCK ST
Mailing Address - Street 2:SUITE 490
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-8307
Mailing Address - Country:US
Mailing Address - Phone:478-741-1208
Mailing Address - Fax:478-741-1557
Practice Address - Street 1:682 HEMLOCK ST
Practice Address - Street 2:SUITE 490
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8307
Practice Address - Country:US
Practice Address - Phone:478-741-1208
Practice Address - Fax:478-741-1557
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026314207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Not Answered207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD29879Medicare UPIN
GA06BDFNHMedicare ID - Type Unspecified