Individual
MR. JAMIE RYAN HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2400 WAYNE MEMORIAL DR, SUITE I, GOLDSBORO, NC 27534-1789
(919) 739-9060
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
194524
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01663595
RAILROAD MEDICARE
NC
Enumeration date
02/16/2016
Last updated
05/10/2021
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