Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 070485 | GA |
N | 207X00000X | Orthopaedic Surgeon | 233112 | MA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 070485 | GA |
Y | 2086S0105X | Surgery of the Hand | 070485 | GA |
NPI | 1194991125 |
---|---|
Provider Name | Virginia M Jones |
First Address | Atlanta, GA 30339-3035 |
Second Address | Newnan, GA 30265-2551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 27/05/2020 |