Provider Demographics
NPI:1740398684
Name:JONES, EDWIN CLAY (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:CLAY
Last Name:JONES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8033 RAY MEARS BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5458
Mailing Address - Country:US
Mailing Address - Phone:865-545-4592
Mailing Address - Fax:901-259-3189
Practice Address - Street 1:8033 RAY MEARS BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5458
Practice Address - Country:US
Practice Address - Phone:865-545-4592
Practice Address - Fax:901-259-3189
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA861802084P0800X
TN382902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry