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NPI Code Detail

MEDICARE: DR. BRIAN SCOTT JEWETT MD

MEDICARE: DR. BRIAN SCOTT JEWETT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician9800289NC
2207YS0123XFacial Plastic Surgery PhysicianME83568FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821012980
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN SCOTT JEWETT MD
Provider Business Mailing Address
First Line : 5221 PARAMOUNT PKWY STE 420
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5491
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2226 NELSON HWY STE 101
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-9638
Country : US
Telephone Number : 984-974-6484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 09/21/2022

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