Healthcare Provider Details

I. General information

NPI: 1093395741
Provider Name (Legal Business Name): YAMILKA ALMEYDA ALEJO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 E ARLINGTON BLVD STE A
GREENVILLE NC
27858-9976
US

IV. Provider business mailing address

1310 E ARLINGTON BLVD STE A
GREENVILLE NC
27858-9976
US

V. Phone/Fax

Practice location:
  • Phone: 252-588-5437
  • Fax: 252-358-3482
Mailing address:
  • Phone: 252-588-5437
  • Fax: 252-358-3482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number202402075
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: