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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1215114129 NPPES
North Carolina Other NCB335A MEDICARE PTAN

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