Provider Demographics
NPI:1295926046
Name:EYSTER, JAMES MELVIN (M D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MELVIN
Last Name:EYSTER
Suffix:
Gender:M
Credentials:M D
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Other - Credentials:
Mailing Address - Street 1:4124 BLUE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-5408
Mailing Address - Country:US
Mailing Address - Phone:919-603-0600
Mailing Address - Fax:919-690-1236
Practice Address - Street 1:4124 BLUE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-5408
Practice Address - Country:US
Practice Address - Phone:919-603-0600
Practice Address - Fax:919-690-1236
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC257942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC87453Medicare UPIN