Individual
DR. THOMAS J JAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1228 N AUGUSTA ST, STAUNTON, VA 24401-3202
(540) 886-5060
(540) 886-7380
Mailing address
1228 N AUGUSTA ST, STAUNTON, VA 24401-3202
(540) 886-5060
(540) 886-7380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101041689
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086702
ANTHEM
VA
Enumeration date
05/04/2006
Last updated
07/09/2007
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