Organization
JASON & SIBS, INC.
Active
Other names
Swallowing Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CUMI JOLLY BEVEL MSW (PRESIDENT)
(954) 394-1867
Entity
Organization
Contact information
Practice address
1001 S MARSHALL ST, SUITE 1-71, WINSTON SALEM, NC 27101-5852
(336) 722-1880
Mailing address
1001 S MARSHALL ST, SUITE 1-71, WINSTON SALEM, NC 27101-5852
(336) 722-1880
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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