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Individual

JOSEPH C FESPERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1534 WEST D STREET, N WILKESBORO, NC 28659
(336) 716-2255
(336) 667-0938
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 667-0938

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21773
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206266J
MEDICARE, INDIVIDUAL PTAN
NC
05
8931753
NC
Enumeration date
08/30/2006
Last updated
10/08/2010
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