Organization
MEBANE MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA CRAVEN JONSE M.D. (MD/PRACTICE OWNER)
(919) 563-3007
Entity
Organization
Contact information
Practice address
1242- C SOUTH FIFTH STREET, MEBANE, NC 27302
(919) 563-3007
(919) 563-1993
Mailing address
1242C S FIFTH ST, MEBANE, NC 27302-9756
(919) 563-3007
(919) 563-1993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8946923
—
NC
Enumeration date
10/31/2007
Last updated
09/07/2010
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