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Individual

DR. JAIME E TRUJILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3080 TRENWEST DR, WINSTON SALEM, NC 27103-3223
(336) 768-0496
(336) 768-0498
Mailing address
3801 N LAKESHORE DR, CLEMMONS, NC 27012-8416
(336) 766-4951
(336) 766-4951

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21447
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
21447
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8983880
NC
Enumeration date
05/12/2006
Last updated
03/21/2019
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