Individual
DR. MICAH WAYNE-ISAAC JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
(540) 776-2036
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
(540) 776-2036
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101017856
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0102204069
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508006388
—
VA
Enumeration date
03/06/2009
Last updated
02/09/2022
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