Individual
DR. JEANE M CASSELBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
(252) 523-9790
Mailing address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
(252) 523-9790
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01080999A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
2019-02540
NC
207V00000X
Obstetrics & Gynecology Physician
4301053890
MI
207VG0400X
Gynecology Physician
4301053890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104813127
—
MI
05
—
300018129
—
IN
Enumeration date
04/10/2006
Last updated
08/17/2020
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