Individual
DR. JACINTA M MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
REGIONAL REHABILITATION CENTER - PCMH, 2100 STANTONSBURG ROAD, GREENVILLE, NC 27834
(252) 744-2207
(252) 744-6625
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
33092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56486
BCBS NC
NC
05
—
8956486
—
NC
Enumeration date
08/29/2005
Last updated
09/04/2007
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