Anthony, Jamie Muckom
Anthony, Jamie Muckom is an individual health care provider with primary practice located at 2695 Hendersonville Rd Ste 200 , Arden NC 28704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Anthony, Jamie Muckom can be contacted via phone (828) 684-6035.Contact Information
Primary practice address
2695 Hendersonville Rd Ste 200
Arden NC 28704
Phone: (828) 684-6035
Fax: (828) 654-8152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012-01507 | North Carolina |
Profile Details
| NPI number | 1215114129 |
|---|---|
| LBN Legal business name | Anthony, Jamie Muckom |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Mar 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215114129 | NPPES |
| North Carolina | Other | NCB335A | MEDICARE PTAN |
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