Individual
JP PHINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5102 OAK PARK RD, STE B, RALEIGH, NC 27612-3027
(919) 395-0869
Mailing address
5102 OAK PARK RD, STE B, RALEIGH, NC 27612-3027
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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