Provider Demographics
NPI:1972630143
Name:JONES, CAREY B II
Entity Type:Individual
Prefix:MR
First Name:CAREY
Middle Name:B
Last Name:JONES
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 E CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31546-4653
Mailing Address - Country:US
Mailing Address - Phone:912-427-8520
Mailing Address - Fax:912-530-6169
Practice Address - Street 1:101 PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31545-0211
Practice Address - Country:US
Practice Address - Phone:912-427-8826
Practice Address - Fax:912-530-6169
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA013193183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist