Provider Demographics
NPI:1851351084
Name:JONES, JAMES PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
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 1:100 CENTURY PLAZA
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678
Mailing Address - Country:US
Mailing Address - Phone:864-888-4122
Mailing Address - Fax:864-888-4630
Practice Address - Street 1:100 CENTURY PLAZA
Practice Address - Street 2:SUITE 4D
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678
Practice Address - Country:US
Practice Address - Phone:864-888-4122
Practice Address - Fax:864-888-4630
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGCH322Medicaid
SC571079432OtherSTANDARD INSURACE, TAX ID
SCCH2240Medicaid