Individual
DR. JAMIE LYNN CARLO-DEMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HOSPITAL DR, GALAX, VA 24333-2227
(276) 236-1690
Mailing address
PO BOX 21569, ROANOKE, VA 24018-0568
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101245432
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184703266
—
VA
01
—
153C1
BCBS OF NC
NC
05
—
5911785
—
NC
Enumeration date
11/02/2006
Last updated
06/16/2017
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