Individual
JESSICA JAMESON DEANE-WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 S TRYON ST, STE 201, CHARLOTTE, NC 28203-4958
(704) 316-3000
(704) 316-3001
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3000
(704) 316-3001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
164466
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
2014-00173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366769044
—
NC
05
—
NC2198
—
SC
Enumeration date
04/21/2010
Last updated
05/26/2022
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