Individual
JAMY D ARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4614 COUNTRY CLUB ROAD, WINSTON SALEM, NC 27104-3520
(336) 716-2255
(336) 716-6637
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001-0637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553745
—
AL
05
—
89129VJ
—
NC
01
—
P00103970
RAILROAD MEDICARE
AL
Enumeration date
05/24/2006
Last updated
03/27/2013
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