Provider Demographics
NPI:1730293887
Name:JONES, ROBERT HOWARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOWARD
Last Name:JONES
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-3948
Mailing Address - Country:US
Mailing Address - Phone:662-244-4673
Mailing Address - Fax:662-244-1763
Practice Address - Street 1:2520 5TH ST N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2008
Practice Address - Country:US
Practice Address - Phone:662-244-4673
Practice Address - Fax:662-244-1763
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL304672085R0001X
ND203132085R0001X
MS158142085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00119869Medicaid
AL731-02635OtherBLUE CROSS OF ALABAMA
MS920004175OtherRAIL ROAD MEDICARE
AL731-02635OtherBLUE CROSS OF ALABAMA
MSG77060Medicare UPIN