Provider Demographics
NPI:1710285549
Name:JONES, PETER DARWIN (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:DARWIN
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 INDIA RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2886
Mailing Address - Country:US
Mailing Address - Phone:804-897-3478
Mailing Address - Fax:804-897-3482
Practice Address - Street 1:15871 CITY VIEW DR
Practice Address - Street 2:SUITE 140
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-7304
Practice Address - Country:US
Practice Address - Phone:804-897-3478
Practice Address - Fax:804-897-3482
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor