Provider Demographics
NPI:1912512955
Name:JONES, STERLING
Entity Type:Individual
Prefix:
First Name:STERLING
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:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:DOZIER
Mailing Address - State:AL
Mailing Address - Zip Code:36028-0173
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1840 LEON TOWER RD
Practice Address - Street 2:
Practice Address - City:DOZIER
Practice Address - State:AL
Practice Address - Zip Code:36028
Practice Address - Country:US
Practice Address - Phone:334-304-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider