| Name: | Dewey H Jones, IV, M.D., LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Dec 2002 (22 years ago) |
| Entity Number: | 000-686-533 |
| Register Number: | 000686533 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1581 WOODRIDGE PLACEBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
Activities
ORTHOPEDIC MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508966599 | 2006-09-22 | 2024-07-10 | 3686 GRANDVIEW PKWY STE 430, BIRMINGHAM, AL, 352433404, US | 3686 GRANDVIEW PKWY STE 430, BIRMINGHAM, AL, 352433404, US | |||||||||||||||||||||||||
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| Phone | +1 205-870-1498 |
| Fax | 2058712851 |
Authorized person
| Name | KRISTIN MCCARRON |
| Role | MGT COMPANY-DOCRX |
| Phone | 2514598545 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | 21829 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0009933375 |
| State | AL |
| Name | Role |
|---|---|
| JONES, DEWEY H IV | Agent |
| Name | Role |
|---|---|
| JONES, DEWEY H IV | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
