Healthcare Provider Details

I. General information

NPI: 1841220084
Provider Name (Legal Business Name): BRIAN DAVID JAMIESON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 WAYNE MEMORIAL DR
GOLDSBORO NC
27534-9494
US

IV. Provider business mailing address

PO BOX 8001 2700 WAYNE MEMORIAL DRIVE
GOLDSBORO NC
27533-8001
US

V. Phone/Fax

Practice location:
  • Phone: 919-731-6065
  • Fax: 919-731-6175
Mailing address:
  • Phone: 919-731-6065
  • Fax: 919-731-6175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA83299
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: