Individual
ERIC CRAYTON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4607 MACCORKLE AVE, STE 400, SOUTH CHARLESTON, WV 25309
(304) 766-4400
(304) 766-4417
Mailing address
4607 MACCORKLE AVE, STE 400, SOUTH CHARLESTON, WV 25309
(304) 766-4400
(304) 766-4417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21915
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002420
—
WV
05
—
4005199000
—
WV
Enumeration date
10/04/2006
Last updated
06/24/2011
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