Individual
DR. MICHAEL WADE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
125 NATIONWIDE DR FL 2, LYNCHBURG, VA 24502-4272
(434) 200-2500
(434) 200-2501
Mailing address
125 NATIONWIDE DR FL 2, LYNCHBURG, VA 24502-4272
(434) 200-2500
(434) 200-2501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02885
KY
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
0102205019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000514453
BCBS
KY
05
—
64095250
—
KY
01
—
P00467331
RR MEDICARE
KY
Enumeration date
09/27/2006
Last updated
10/11/2022
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