Individual
JAKE ANTHONY BARBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 WHITE STREET, JACKSONVILLE, NC 28545
(910) 449-6500
Mailing address
100 WHITE STREET, JACKSONVILLE, NC 28545
(910) 449-6500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208195
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2022
Last updated
11/08/2023
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