Basic Information
| Provider Information | |||||||||
| NPI: | 1750357711 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | FRIELDEN | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 590 MEDICAL PARK DRIVE | ||||||||
| Address2: | |||||||||
| City: | MARSHALL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286490800 | ||||||||
| FaxNumber: | 8286491032 | ||||||||
| Practice Location | |||||||||
| Address1: | 119 MOUNTAIN VIEW RD | ||||||||
| Address2: | |||||||||
| City: | MARS HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287549500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286893507 | ||||||||
| FaxNumber: | 8286893505 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2006 | ||||||||
| LastUpdateDate: | 07/21/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 20925 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8946980 | 05 | NC | MEDICAID |