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Individual

JACOB TODD ROTHFUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1319 SPERO RD, ASHEBORO, NC 27205
(336) 890-4970
(336) 890-4963
Mailing address
300 E WENDOVER AVE, GREENSBORO, NC 27401-1229
(336) 890-4963

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14703
NC
363AM0700X
Medical Physician Assistant
0010-14703
NC

Other

Enumeration date
10/09/2024
Last updated
12/09/2024
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