Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 6796 | NE |
N | 208200000X | Surgeon | 0101242359 | VA |
N | 208600000X | Surgeon | 0101242359 | VA |
Y | 208200000X | Surgeon | 2019-01249 | NC |
Y | 208600000X | Surgeon | 2019-01249 | NC |
NPI | 1851504336 |
---|---|
Provider Name | Jayme Bruce Stokes |
First Address | Baltimore, MD 21279-0777 |
Second Address | Wilmington, NC 28401-7307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 10/09/2019 |