Jones, Edward Johnson
Jones, Edward Johnson is an individual health care provider with primary practice located at 115 Executive Parkway , Moncks Corner SC 29461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jones, Edward Johnson can be contacted via phone (843) 761-2815.Contact Information
Primary practice address
115 Executive Parkway
Moncks Corner SC 29461
Phone: (843) 761-2815
Fax: (843) 869-8034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22048 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22048 | South Carolina |
Profile Details
| NPI number | 1669424487 |
|---|---|
| LBN Legal business name | Jones, Edward Johnson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669424487 | NPPES |
| South Carolina | MEDICAID | T62189 | |
| South Carolina | Other | 080157309 | |
| South Carolina | MEDICAID | AA59077126 |
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