Carlo-Demovich, Jamie Lynn

Carlo-Demovich, Jamie Lynn is an individual health care provider with primary practice located at 200 Hospital Dr , Galax VA 24333-2227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Carlo-Demovich, Jamie Lynn can be contacted via phone (276) 236-1690.

Contact Information

Primary practice address
200 Hospital Dr Galax VA 24333-2227
Phone: (276) 236-1690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101245432 Virginia

Profile Details

NPI number 1184703266
LBN Legal business name Carlo-Demovich, Jamie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jun 16th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184703266 NPPES
North Carolina MEDICAID 5911785
North Carolina MEDICAID 1184703266
North Carolina Other 153C1

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