Basic Information
| Provider Information | |||||||||
| NPI: | 1760432686 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | PAUL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 711 OLD TRENTS FERRY RD | ||||||||
| Address2: | |||||||||
| City: | LYNCHBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245031107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349442450 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1901 TATE SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | LYNCHBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245011109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349473027 | ||||||||
| FaxNumber: | 4349473265 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 02/19/2014 | ||||||||
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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 | 0101051085 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.