Jerome Edwin Jennings in Winston Salem - Sports Medicine
Jerome Edwin Jennings - NPI 1861495806
Jerome Edwin Jennings is a Sports Medicine in Winston Salem, North Carolina. Jerome Edwin Jennings practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jerome Edwin Jennings is 1861495806. The last update date is 2013-02-18.
Jerome Edwin Jennings's current location address is 1345 Westgate Center Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367651571 and fax number 3366590425. The mailing address for Jerome Edwin Jennings is 1345 Westgate Center Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Edwin Jennings |
|---|---|
| Address | 1345 Westgate Center Dr, Winston Salem, North Carolina |
| Phone Number | 3367651571 |
| Fax Number | 3366590425 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861495806 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
| Address | 1345 Westgate Center Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 2710330400 |
| Phone Number | 3367651571 |
| Fax Number | 3366590425 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 17013 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223770001 | NC | MEDICARE DME | |
| 45906 | NC | BCBSNC | |
| 8945906 | NC | -- |
Post Comment/ Review Below
What is the Jerome Edwin Jennings's unique identification number?
The Jerome Edwin Jennings has been assigned the NPI (National Provider Identifier) Number 1861495806 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jerome Edwin Jennings is physically located?
The Jerome Edwin Jennings is physically situated at the following address: 1345 Westgate Center Dr, Winston Salem, NC, 2710330400.
What is the Jerome Edwin Jennings's area of specialization and corresponding taxonomy classification?
The Jerome Edwin Jennings's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
As of what date were the Jerome Edwin Jennings's details last updated?
The information pertaining to the Jerome Edwin Jennings, including its address, specialty, and other details, was most recently updated on 2013-02-18.
As of what date were the details related to Jerome Edwin Jennings most recently updated or revised?
The information pertaining to Jerome Edwin Jennings, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-18.