Individual
MR. SETH ELIJAH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
20304 TIMBERLAKE RD, LYNCHBURG, VA 24502-7222
(434) 237-6471
(434) 237-8810
Mailing address
PO BOX 2489, FOREST, VA 24551-6489
(434) 382-1139
(434) 525-5748
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508120767
—
VA
Enumeration date
07/02/2012
Last updated
05/21/2013
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