Individual
JAMEHL DEMONS SHEGOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9601290
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1090M
BCBS
—
01
—
27222
PARTNERS
—
01
—
7029007
AETNA
—
05
—
7602723
—
VA
05
—
791090M
—
NC
01
—
80503
MEDCOST
—
Enumeration date
12/13/2005
Last updated
12/21/2007
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