Provider Demographics
NPI:1972865004
Name:JONES, NATHANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL HOSPITAL BEAUFORT, MEDICAL STAFF SERVICE OFFICE
Mailing Address - Street 2:1 PINCKNEY BLVD., BOX 6216A, BUILDING 1
Mailing Address - City:FPO
Mailing Address - State:AA
Mailing Address - Zip Code:29902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 6216A
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-0313
Practice Address - Country:US
Practice Address - Phone:843-228-5994
Practice Address - Fax:843-228-5728
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC346702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology