Individual
CAMEO JAMAR CRUMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADMINISTRATOR
Contact information
Practice address
3662 PATRICIA DR NW, CONCORD, NC 28027-5625
(330) 329-5961
Mailing address
3662 PATRICIA DR NW, CONCORD, NC 28027-5625
(330) 329-5961
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-0982968
—
NC
Enumeration date
08/07/2018
Last updated
08/07/2018
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