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Individual
JAYNE MARIE MCCORMICK
Active
Individual
JAYNE MARIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD2011-0692
NM
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
Primary
MD2011-0692
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699730663
GROUP NPI
NE
05
—
47084573713
—
NE
Enumeration date
01/18/2007
Last updated
01/22/2016
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