Individual
DR. TAMMY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9683A MAIN ST, FAIRFAX, VA 22031-3744
(703) 426-4900
(703) 426-4954
Mailing address
9683 MAIN ST STE A, FAIRFAX, VA 22031-3755
(703) 426-4900
(703) 426-4954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101266007
VA
207Q00000X
Family Medicine Physician
98-00293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922561943
GROUP NPI
VA
01
—
CR810001
BCBS
MD
Enumeration date
02/13/2006
Last updated
02/20/2020
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