Provider Demographics
NPI:1942760392
Name:JONES, GARRETT HAMILTON (MD)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:HAMILTON
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9200
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9200
Mailing Address - Country:US
Mailing Address - Phone:304-598-4825
Mailing Address - Fax:304-598-6899
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-1200
Practice Address - Country:US
Practice Address - Phone:304-598-4825
Practice Address - Fax:304-598-6899
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD484912207Y00000X
WV34110207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology