Provider Demographics
NPI:1750490389
Name:JONES, JAMES MARTIN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARTIN
Last Name:JONES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:JIMMY
Other - Middle Name:M
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:207 LAUREL CREEK RD SE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-7002
Mailing Address - Country:US
Mailing Address - Phone:706-629-3663
Mailing Address - Fax:706-629-3663
Practice Address - Street 1:1035 RED BUD RD NE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-2082
Practice Address - Country:US
Practice Address - Phone:706-629-9139
Practice Address - Fax:706-629-9080
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist