Individual
JEHANA ASAIDRA JAMES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50557
WI
208M00000X
Hospitalist Physician
Primary
2010-00809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50557
STATE OF WISCONSIN MEDICA
WI
Enumeration date
07/10/2007
Last updated
06/14/2023
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