Dr Justin Alan Jones, DO | |
428 E Vann Rd, Greeneville, TN 37743-7202 | |
(423) 278-1950 | |
Not Available |
Full Name | Dr Justin Alan Jones |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 428 E Vann Rd, Greeneville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316128101 | NPI | - | NPPES |
4274451 | Other | TN | BCBS |
1519731 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2173 (Tennessee) | Primary |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Alan Jones, DO Po Box 15004, Knoxville, TN 37901 Ph: (865) 522-9730 | Dr Justin Alan Jones, DO 428 E Vann Rd, Greeneville, TN 37743-7202 Ph: (423) 278-1950 |
Mrs. Kelsey Jean Little, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 | |
Todd William Aiken, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-0950 Fax: 423-278-1973 | |
Dr. John Applegate, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 428 E Vann Rd, Greeneville, TN 37743 Phone: 423-278-1950 Fax: 423-278-1973 | |
Douglas Catron Cobble, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 | |
Mr. Timothy Louis Fuller, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 428 East Vann Road, Greeneville, TN 37743 Phone: 423-278-1950 Fax: 423-278-1973 | |
Ms. Kimberly R Fisher, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 N Main St, Greeneville, TN 37745 Phone: 423-787-6050 Fax: 423-787-6054 |