Provider Demographics
NPI:1992156780
Name:SERRANO, JAMIE LYNN BENEDEK (DO)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LYNN BENEDEK
Last Name:SERRANO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
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Mailing Address - Fax:
Practice Address - Street 1:204 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-8814
Practice Address - Country:US
Practice Address - Phone:252-775-5999
Practice Address - Fax:252-208-1647
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2021-12-14
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Provider Licenses
StateLicense IDTaxonomies
MI5101022407208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery