Kenneth Wayne Jones Jr, MD | |
424 N Main St, Cedartown, GA 30125-2644 | |
(770) 748-2500 | |
Not Available |
Full Name | Kenneth Wayne Jones Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 424 N Main St, Cedartown, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174567168 | NPI | - | NPPES |
000475307F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 31037 (Georgia) | Primary |
Entity Name | Redmond Er Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568408466 PECOS PAC ID: 4880660216 Enrollment ID: O20040908000283 |
Entity Name | Georgia Hospitalists Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
Entity Name | Etowah Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962944900 PECOS PAC ID: 1456635697 Enrollment ID: O20170307000640 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Wayne Jones Jr, MD 7 Huntington Rd Sw, Rome, GA 30165-6660 Ph: (706) 234-4479 | Kenneth Wayne Jones Jr, MD 424 N Main St, Cedartown, GA 30125-2644 Ph: (770) 748-2500 |
Michael C Gaddy, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 N Main St, Cedartown, GA 30125 Phone: 770-748-2500 | |
Clyde Randall Edwards, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 N Main St, Cedartown, GA 30125 Phone: 770-748-2500 | |
Norberto Rosado, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 N Main St, Cedartown, GA 30125 Phone: 770-748-2500 |