Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 101043717 | VA |
NPI | 1548282619 |
---|---|
Provider Name | Charles M. Jones III |
First Address | Richmond, VA 23226-1934 |
Second Address | Richmond, VA 23226-1934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 08/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10122015 | (05) | VA |
10122015 | MAMSI (01) | VA |
157695 | ANTHEM BCBS OF VA (01) | VA |
248504 | SOUTHERN HEALTH (01) | VA |
3701668 | AETNA HMO (01) | VA |
3701668 | AETNA LIFE (01) | VA |
615085 | MAMSI (01) | VA |
764911 | CIGNA (01) | VA |
E35955 | (02) | VA |
P00229902 | RAILROAD MEDICARE (01) | VA |