Individual
JEREMIAH RICHARD MARION III
Active
Individual
JEREMIAH RICHARD MARION III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852212
UNITED HEALTHCARE
NC
01
—
19473
OPTICARE
NC
01
—
346159
MAMSI
NC
01
—
4540374
AETNA
NC
01
—
52628
MEDCOST
NC
01
—
53935
BCBS NC
NC
01
—
5612887675
CIGNA
NC
Enumeration date
08/02/2005
Last updated
12/04/2007
Update your record
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