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Individual

MR. JASON D. MCNEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1165-G CEDAR POINT BLVD, CEDAR POINT, NC 28584-8023
(252) 393-3340
(252) 222-3245
Mailing address
1165-G CEDAR POINT BLVD, CEDAR POINT, NC 28584-8023
(252) 393-3340
(252) 222-3245

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05159
NC
363A00000X
Physician Assistant
50.002294
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MCPA29731
MEDICARE PTAN
OH
Enumeration date
08/22/2007
Last updated
11/12/2014
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