Tammy Jones Md Pllc | |
9683 Main St Ste A Fairfax VA 22031-3755 | |
(703) 426-4900 | |
(703) 426-4955 |
Full Name | Tammy Jones Md Pllc |
---|---|
Speciality | Family Medicine |
Location | 9683 Main St Ste A, Fairfax, Virginia |
Authorized Official Name and Position | Tammy R. Jones (PHYSICIAN/OWNER) |
Authorized Official Contact | 7035593251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tammy Jones Md Pllc 9683 Main St Ste A Fairfax VA 22031-3755 Ph: (703) 426-4900 | Tammy Jones Md Pllc 9683 Main St Ste A Fairfax VA 22031-3755 Ph: (703) 426-4900 |
NPI Number | 1922561943 |
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Provider Enumeration Date | 04/08/2019 |
Last Update Date | 04/08/2019 |
Medicare PECOS PAC ID | 3072856012 |
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Medicare Enrollment ID | O20190515001755 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922561943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tammy R Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144293713 PECOS PAC ID: 0648258574 Enrollment ID: I20190515001925 |
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