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Organization
MYMD PERSONAL FAMILY CARE, PLLC
Active
Organization
MYMD PERSONAL FAMILY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER DAUGHERTY HALLORAN MD (OWNER)
(252) 489-9574
Entity
Organization
Contact information
Practice address
110 W WOOD HILL DR UNIT 108, NAGS HEAD, NC 27959-9394
(252) 489-9574
(252) 457-2250
Mailing address
5331 CAPTAINS WAY, NAGS HEAD, NC 27959-9502
(252) 489-9574
(252) 457-2250
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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