Provider Demographics
NPI:1417390873
Name:JAMISON, MEGAN O'BRIEN (MD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:O'BRIEN
Last Name:JAMISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:40 DUKE MEDICINE CIR # 3K
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-1033
Mailing Address - Country:US
Mailing Address - Phone:919-684-3432
Mailing Address - Fax:919-684-6505
Practice Address - Street 1:234 CROOKED CREEK PKWY STE 300
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8507
Practice Address - Country:US
Practice Address - Phone:919-385-7546
Practice Address - Fax:919-385-7566
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD83733207N00000X
DCMTL001732207N00000X
NC2020-0186207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty