MEDICARE: ERIC L JONES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101046217	VA

General Provider Information

NPI Number	:	1265462568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC L JONES MD

Provider Business Mailing Address
First Line	:	PO BOX 758963
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21275-8963
Country	:	US
Telephone Number	:	804-968-5700
Fax Number	:	804-217-7991

Provider Business Practice Location Address
First Line	:	6632 INDIAN RIVER RD
Second Line	:	SUITE 103
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3442
Country	:	US
Telephone Number	:	757-424-4442
Fax Number	:	757-523-4765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	01/15/2013

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