Individual
JAMIE PATRICIA DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
1920 W 1ST ST, WINSTON SALEM, NC 27104-4220
(336) 716-4479
Mailing address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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