Jones, Douglas Edgar

Jones, Douglas Edgar is an sole proprietor health care provider with primary practice located at 6005 Park Avenue Suite 307, Memphis TN 38119-5213. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jones, Douglas Edgar can be contacted via phone (901) 682-0004.

Contact Information

Primary practice address
6005 Park Avenue Suite 307 Memphis TN 38119-5213
Phone: (901) 682-0004
Fax: (901) 680-8218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD18524 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD18524 Tennessee
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD18524 Tennessee

Profile Details

NPI number 1003998329
LBN Legal business name Jones, Douglas Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003998329 NPPES
Tennessee MEDICAID 3031241

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