Provider Demographics
NPI:1801482815
Name:JONES, MYRON
Entity type:Individual
Prefix:
First Name:MYRON
Middle Name:
Last Name:JONES
Suffix:
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 1:8457 FRIEDEN TRL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3347
Mailing Address - Country:US
Mailing Address - Phone:901-508-4642
Mailing Address - Fax:901-753-9487
Practice Address - Street 1:8457 FRIEDEN TRL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3347
Practice Address - Country:US
Practice Address - Phone:901-508-4642
Practice Address - Fax:901-753-9487
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)