Tamison Jewett
Clinical Genetics (M.D.)
Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
Tamison Jewett
Clinical Genetics (M.D.)
Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
(336) 716-2255
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Tamison Jewett
- Po Box 344
- Winston Salem, NC
- Zip : 27102-0344
- Phone : (336) 716-2255
Second Address
- Tamison Jewett
- Medical Center Blvd
- Winston Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-2255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 34637 | NC |
National Provider Identifier
| NPI | 1770567729 |
|---|---|
| Provider Name | Tamison Jewett |
| First Address | Winston Salem, NC 27102-0344 |
| Second Address | Winston Salem, NC 27157-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2005 |
| Last Update Date | 09/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2001736000 | (05) | WV |
| 2710 | PARTNERS (01) | NC |
| 4509049 | AETNA (01) | |
| 45946 | BCBS (01) | NC |
| 55928 | MEDCOST (01) | NC |
| 6713033 | (05) | VA |
| 8945946 | (05) | NC |
| A03621 | (02) | |
| Q34638 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.