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Individual

DR. ROBERT BEN JOLLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
NORTON COMMUNITY HOSPITAL, 100 15TH ST NW, NORTON, VA 24273
(276) 439-1100
Mailing address
1009 MUDDY FORD RD, CHAPIN, SC 29036-7833
(803) 920-3754

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101273347
VA
207P00000X
Emergency Medicine Physician
12868
SC
207P00000X
Emergency Medicine Physician
62415
TN
207Q00000X
Family Medicine Physician
0101273347
VA
207Q00000X
Family Medicine Physician
12868
SC
207Q00000X
Family Medicine Physician
306386
NC
207Q00000X
Family Medicine Physician
62415
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128686
SC
01
P00237190
RRGA
Enumeration date
05/06/2006
Last updated
07/12/2022
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