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NPI Code Detail

MEDICARE: SHAVON C JONES MD

MEDICARE: SHAVON C 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
1207Q00000XFamily Medicine Physician0101235197VA

General Provider Information

NPI Number : 1528047610
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAVON C JONES MD
Provider Business Mailing Address
First Line : 4717 MARSHALL AVE
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23607-2225
Country : US
Telephone Number : 757-380-8709
Fax Number : 757-928-0902
Provider Business Practice Location Address
First Line : 4717 MARSHALL AVE
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23607-2225
Country : US
Telephone Number : 757-380-8709
Fax Number : 757-928-0902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 08/29/2007

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Directions to “ SHAVON C JONES MD” Practice Location

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