Individual
DR. MARY JO GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3110 WELLONS BLVD, NEW BERN, NC 28562-5247
(252) 638-2515
(252) 638-8538
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 635-3906
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30001526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007472511
AETNA- PPO
VA
01
—
265673
MAMSI, OPTIMUM, MDIPA
VA
01
—
272803
BLUE CROSS BLUE SHIELD
VA
01
—
3311009
AETNA- HMO
VA
01
—
54/1804291-001
CIGNA
VA
01
—
541804291
PHCS
VA
01
—
5518-0001
CAREFIRST BCBS
VA
05
—
9460144
—
VA
Enumeration date
02/13/2006
Last updated
09/20/2024
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