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NPI Code Detail

MEDICARE: DR. WILLIAM G. JONES M.D.

MEDICARE: DR. WILLIAM G. 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
1207Q00000XFamily Medicine Physician0101033283VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1186375OTHERANTHEM PROVIDER NUMBER
245096OTHERSENTARA/OPTIMA PROVIDER N
348812OTHERMEDCOST PROVIDER NUMBER
4329075OTHERSOUTHERN HEALTH PROVIDER
5203639329014OTHERTRICARE PROVIDER NUMBER

General Provider Information

NPI Number : 1366449704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM G. JONES M.D.
Provider Business Mailing Address
First Line : 1204 FENWICK DR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-2112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 104 CAROLINA AVE
Second Line :
City : BROOKNEAL
State : VA
Zip : 24528-2643
Country : US
Telephone Number : 434-376-2325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 03/11/2008

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