Individual
JAIME QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-8011
Mailing address
PO BOX 409540, ATLANTA, GA 30384-9540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127NY
BCBS PROVIDER NUMBER
NC
05
—
89127NY
—
NC
Enumeration date
08/31/2006
Last updated
07/09/2007
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