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Individual

DR. JAMES JEROME MARNOCK

Active
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Individual

DR. JAMES JEROME MARNOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9500655
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101Y
BCBS OF NC-PRACTICE #
NC
01
—
080127240
PALMETTO GBA-RAILROAD MED
NC
01
—
54940
BCBS OF NC -INDIVIDUAL
NC
01
—
56-2093810
UNITED HEALTHCARE #
NC
05
—
790101Y
—
NC
05
—
8954940
—
NC
Enumeration date
11/17/2006
Last updated
02/02/2021
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