Provider Demographics
NPI:1942803697
Name:JONES, ANDREW C (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 ALEXANDER BANK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9624
Mailing Address - Country:US
Mailing Address - Phone:704-660-4584
Mailing Address - Fax:704-660-4967
Practice Address - Street 1:106 ALEXANDER BANK DR STE 300
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9624
Practice Address - Country:US
Practice Address - Phone:704-660-4584
Practice Address - Fax:704-660-4967
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered