Individual
JOHN JAY OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20033
SC
2086S0129X
Vascular Surgery Physician
20033
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2021
—
SC
Enumeration date
05/24/2007
Last updated
02/03/2026
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