Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 14970 | SC |
NPI | 1306862826 |
---|---|
Provider Name | Alison Maria Jones |
First Address | Greenville, SC 29615-6300 |
Second Address | Greenville, SC 29605-5611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
149707 | (05) | SC |
171693 | UNISON (01) | SC |
20009396 | SELECT HEALTH IND (01) | SC |
20031678 | SELECT HEALTH GRP (01) | SC |
21-4970 | SC CONTROLLED SUBST (01) | SC |
BJ2006763 | FED DEA (01) | SC |
F44431 | (02) | SC |