Provider Demographics
NPI:1568465839
Name:JONES, VIRGINIA SHARRON (MD)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:SHARRON
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-3666
Mailing Address - Country:US
Mailing Address - Phone:706-647-1200
Mailing Address - Fax:706-647-3998
Practice Address - Street 1:211 E THOMPSON ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3666
Practice Address - Country:US
Practice Address - Phone:706-647-1200
Practice Address - Fax:706-647-3998
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA045847207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000800181CMedicaid
GA000800181CMedicaid
GAG79246Medicare UPIN
GA000800181CMedicaid