Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101044170 | VA |
Y | 111NI0900X | Internist | 0101044170 | VA |
N | 207RA0401X | Internist - Addiction Medicine | 0101044170 | VA |
NPI | 1114061843 |
---|---|
Provider Name | Dr. Joseph Shaw Jones |
First Address | Hamilton, VA 20158-9002 |
Second Address | Fairfax, VA 22030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 01/10/2015 |