Individual
JACOB JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
2150 PENNSYLVANIA AVE, NW, GW MEDICAL FACULTY ASSOCIATES, WASHINGTON, DC 20037
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101269115
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/07/2015
Last updated
05/18/2020
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