MEDICARE: JAMIE MCCALSTON CPT

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
1	246RP1900X	Phlebotomy Technician	B2W3L8Q9	NC

General Provider Information

NPI Number	:	1235087974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE MCCALSTON CPT

Provider Business Mailing Address
First Line	:	1601 KENT DR N APT 4
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-1520
Country	:	US
Telephone Number	:	919-520-6750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 KENT DR N APT 4
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-1520
Country	:	US
Telephone Number	:	919-520-6750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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