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Individual

JEFFREY RICHARD MANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
269 GILLMAN RD, STE 100, DENVER, NC 28037-3007
(704) 316-4930
(704) 316-4931
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-00652
NC
207Q00000X
Family Medicine Physician
38055
SC

Other

Enumeration date
05/23/2015
Last updated
10/26/2020
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