MEDICARE: DR. ANTHONY DARNELL JONES M.D.

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	0101241915	VA
2	208M00000X	Hospitalist Physician	0101241915	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	345206	OTHER	VA	BCBS

General Provider Information

NPI Number	:	1477757243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY DARNELL JONES M.D.

Provider Business Mailing Address
First Line	:	3808 MECHANICSVILLE TPKE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-1114
Country	:	US
Telephone Number	:	804-228-1143
Fax Number	:	804-228-7382

Provider Business Practice Location Address
First Line	:	3808 MECHANICSVILLE TPKE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-1114
Country	:	US
Telephone Number	:	804-228-1143
Fax Number	:	804-228-7382

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	10/14/2015

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