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Individual
JONATHAN B MYERS
Active
Individual
JONATHAN B MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9901585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128X6
BCBS
NC
05
—
89128X6
—
NC
01
—
P00224303
RAILROAD
NC
Enumeration date
04/06/2006
Last updated
03/16/2009
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