Provider Demographics
NPI:1730164229
Name:JONES, BERNARD LEE JR (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:LEE
Last Name:JONES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1075 N FRASER ST
Mailing Address - Street 2:GEORGETOWN HEALTH GROUP
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440-2848
Mailing Address - Country:US
Mailing Address - Phone:843-527-4442
Mailing Address - Fax:843-527-4027
Practice Address - Street 1:701 S MORGAN AVE
Practice Address - Street 2:GEORGETOWN HEALTH GROUP DBA ANDREWS MEDICAL CENTER
Practice Address - City:ANDREWS
Practice Address - State:SC
Practice Address - Zip Code:29510-2959
Practice Address - Country:US
Practice Address - Phone:843-264-5253
Practice Address - Fax:843-264-5970
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2024-10-30
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Provider Licenses
StateLicense IDTaxonomies
SC12648207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP1366Medicaid
SCRHC068Medicaid
SC5078Medicare PIN
SC423970Medicare ID - Type Unspecified