MEDICARE: DR. PETER DARWIN JONES D.C.

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	111N00000X	Chiropractor	0104557095	VA

General Provider Information

NPI Number	:	1710285549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER DARWIN JONES D.C.

Provider Business Mailing Address
First Line	:	2109 INDIA RD
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-2886
Country	:	US
Telephone Number	:	804-897-3478
Fax Number	:	804-897-3482

Provider Business Practice Location Address
First Line	:	15871 CITY VIEW DR
Second Line	:	SUITE 140
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-7304
Country	:	US
Telephone Number	:	804-897-3478
Fax Number	:	804-897-3482

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

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	10/01/2019

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