Provider Demographics
NPI:1780832451
Name:JONES, SHAWN RAYMOND (DC)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:RAYMOND
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6290 VANCE RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2978
Mailing Address - Country:US
Mailing Address - Phone:423-643-2277
Mailing Address - Fax:423-643-2666
Practice Address - Street 1:6290 VANCE RD
Practice Address - Street 2:SUITE #100
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2978
Practice Address - Country:US
Practice Address - Phone:423-643-2277
Practice Address - Fax:423-643-2666
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor