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Individual

DR. JAMIE LEE REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
1839 QUIET CV, FAYETTEVILLE, NC 28304-3857
(910) 323-1463
Mailing address
1638 OWEN DR, ATTN: SPEECH/AUDIOLOGY DEPT., FAYETTEVILLE, NC 28304-3424
(910) 615-4060
(910) 615-5480

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
8281
NC
237600000X
Audiologist-Hearing Aid Fitter

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2696764
MEDICARE PTAN
NC
Enumeration date
10/07/2008
Last updated
10/19/2010
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