Provider Demographics
NPI:1801009626
Name:JONES, CATHERINE RAOUL (ND, MS, LAC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:RAOUL
Last Name:JONES
Suffix:
Gender:F
Credentials:ND, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 MARKET STREET
Mailing Address - Street 2:#302
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401
Mailing Address - Country:US
Mailing Address - Phone:843-513-7477
Mailing Address - Fax:
Practice Address - Street 1:4 CARRIAGE LANE
Practice Address - Street 2:SUITE 405A
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407
Practice Address - Country:US
Practice Address - Phone:843-225-2088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC091171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist