Individual
JAYSON R MIEDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 MARKET ST STE 400, DEPARTMENT OF DERMATOLOGY, CHAPEL HILL, NC 27516-4061
(919) 966-2485
(919) 966-6460
Mailing address
410 MARKET ST STE 400, CHAPEL HILL, NC 27516-4061
(984) 974-3692
(984) 974-3900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2012-00940
NC
Other
Enumeration date
05/25/2009
Last updated
04/01/2021
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