Provider Demographics
NPI:1700063336
Name:JONES, JEFFERSON CONWAY II (MD)
Entity Type:Individual
Prefix:
First Name:JEFFERSON
Middle Name:CONWAY
Last Name:JONES
Suffix:II
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 1:1900 10TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-3605
Mailing Address - Country:US
Mailing Address - Phone:706-653-8556
Mailing Address - Fax:706-653-9778
Practice Address - Street 1:1900 10TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3605
Practice Address - Country:US
Practice Address - Phone:706-653-8556
Practice Address - Fax:706-653-9778
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA063907207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology