Jere, Grace Mayamiko
Jere, Grace Mayamiko is an individual health care provider with primary practice located at 91 Enterprise Dr , Rocky Mount NC 27804-9590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jere, Grace Mayamiko can be contacted via phone (252) 937-0235.Contact Information
Primary practice address
91 Enterprise Dr
Rocky Mount NC 27804-9590
Phone: (252) 937-0235
Fax: (252) 937-3103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2008-00543 | North Carolina |
Profile Details
| NPI number | 1801896618 |
|---|---|
| LBN Legal business name | Jere, Grace Mayamiko |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Nov 7th, 2023 - about last year |
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 | 1801896618 | NPPES |
| North Carolina | Other | 212661 | MEDCOST |
| North Carolina | Other | 6280481 | MEDCOST |
| North Carolina | Other | 150YG | MEDCOST |
| North Carolina | MEDICAID | 5910538 | MEDCOST |
| North Carolina | Other | 7348979 | MEDCOST |
| North Carolina | Other | P00671247 | MEDCOST |
| North Carolina | Other | 2587554 | MEDCOST |
Popular Providers
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Puthenveetil, John Varkey
1041 Noell Ln Ste 105 , Rocky Mount NC 27804-2055 -
Browder, David Allen
91 Enterprise Dr , Rocky Mount NC 27804-9590 -
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Crocker, Daniel Lind
1041 Noell Ln Suite 105, Rocky Mount NC 27804-2058 -
Chesnutt, Martha J
91 Enterprise Dr , Rocky Mount NC 27804-9590 -
Kumar, Satish K
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Chamberlain, Matthew P
91 Enterprise Dr , Rocky Mount NC 27804-9590