Provider Demographics
NPI:1295944114
Name:BAE-JUMP, VICTORIA L (MD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:L
Last Name:BAE-JUMP
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:CB 7570 DIVISION OF GYNECOLOGIC ONCOLOGY
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7570
Mailing Address - Country:US
Mailing Address - Phone:919-966-1194
Mailing Address - Fax:919-966-2646
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:ROOM 1107G WEST WING
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-1072
Practice Address - Fax:919-966-0290
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200400799207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906770Medicaid
NC2065911Medicare PIN