Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 200600861 | NC |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 200600861 | NC |
NPI | 1083615694 |
---|---|
Provider Name | Dr. David T Jones |
First Address | Raleigh, NC 27609-6864 |
Second Address | Raleigh, NC 27609-6864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2005 |
Last Update Date | 08/01/2020 |