Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 9701782 | NC |
NPI | 1639140817 |
---|---|
Provider Name | Dr. Richard M Jones |
First Address | Cary, NC 27519-8195 |
Second Address | Cary, NC 27519-8195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8911049 | (05) | NC |
G03208 | (02) | NC |