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Contact Information

EDWARD J JONES III, MD
115 EXECUTIVE PARKWAY
MONCKS CORNER, SC29461
 Phone: 843-761-2815
 Fax: 843-869-8034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EDWARD J JONES III · (Male)

NPI Number 1669424487
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 22048
  • SC Medicaid AA59077126
  • SC Medicaid T62189
  • SC Other 080157309 MEDICARE RAIL ROAD
Hospital affiliation(s)
  • ROPER HOSPITAL - (Acute Care)
    316 CALHOUN ST
    CHARLESTON, SC 29401
  • TRIDENT MEDICAL CENTER - (Acute Care)
    9330 MEDICAL PLAZA DR
    CHARLESTON, SC 29406
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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