Tara R Jones | Fayetteville, NC • PECOS Search

Tara R Jones

Family Medicine

Allopathic & Osteopathic Physicians

4900 Raeford Rd, Fayetteville, NC 28304-3142

PECOS Enrollment

Based on the most recent information from CMS, provider Tara R Jones does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1063705119
Provider Type
Individual
Full Name
Jones, Tara R
Gender
Female

Sole Proprietor
No
Enumeration Date
5/24/2011
Last Updated
5/24/2011

Contact Information

Practice Location

4900 Raeford Rd, Fayetteville, NC 28304-3142

(910) 483-4930

Mailing Location

4900 Raeford Rd, Fayetteville, NC 28304-3142

(910) 483-4930

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 24427 North Carolina