Provider Demographics
NPI:1295788461
Name:JONES, ROBERT M (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1320 UNION UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3780
Mailing Address - Country:US
Mailing Address - Phone:731-422-7999
Mailing Address - Fax:731-422-4937
Practice Address - Street 1:1320 UNION UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3780
Practice Address - Country:US
Practice Address - Phone:731-422-7999
Practice Address - Fax:731-422-4937
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN18144207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2622886OtherCIGNA HEALTHCARE
TN3028070Medicaid
4269190OtherBCBS OF TN
TN4131559OtherAETNA PROVIDER NUMBER
P00892044OtherRAILROAD MEDICARE
TN2622886OtherCIGNA HEALTHCARE