Healthcare Provider Details
I. General information
NPI: 1144151507
Provider Name (Legal Business Name): CJM MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
348 N SOUTH ST
MOUNT AIRY NC
27030-3532
US
IV. Provider business mailing address
348 N SOUTH ST
MOUNT AIRY NC
27030-3532
US
V. Phone/Fax
- Phone: 336-648-8848
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
MAJURE
Title or Position: OWNER
Credential: MD
Phone: 336-408-6262