Individual
JAMIE LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 JOHN SMALL AVE, WASHINGTON, NC 27889-7387
(252) 561-5560
Mailing address
1734 JOHN SMALL AVE, WASHINGTON, NC 27889-7387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7510
NC
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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