Provider Demographics
NPI:1952389991
Name:JONES, ALONZO E (MD)
Entity Type:Individual
Prefix:MR
First Name:ALONZO
Middle Name:E
Last Name:JONES
Suffix:
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 1:2300 MANCHESTER EXPY STE 1003
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6877
Mailing Address - Country:US
Mailing Address - Phone:706-323-5552
Mailing Address - Fax:706-243-0476
Practice Address - Street 1:2300 MANCHESTER EXPY STE 1003
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6877
Practice Address - Country:US
Practice Address - Phone:706-323-5552
Practice Address - Fax:706-243-0476
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036787171000000X
GA36787207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No171000000XOther Service ProvidersMilitary Health Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000542517Medicaid
AL167631Medicaid
AL167631Medicaid
AL20724OtherSTATE LICENSE
GAE21548Medicare UPIN