Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 164456 | NC |
Y | 207VX0201X | Gynecologic Oncologist | 35742 | AL |
NPI | 1255645594 |
---|---|
Provider Name | Nathaniel L Jones |
First Address | Mobile, AL 36640-0430 |
Second Address | Mobile, AL 36604-1405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2010 |
Last Update Date | 09/10/2018 |