Individual
DR. JONATHAN NESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E LAUNCHWOOD DR, LAURINBURG, NC 28352-5501
(910) 276-7727
(910) 277-7439
Mailing address
PO BOX 1889, LAURINBURG, NC 28353-1889
(910) 276-7727
(910) 277-7439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32548
NC
207RN0300X
Nephrology Physician
32548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13809
—
SC
05
—
8962164
—
NC
01
—
B925040281
MEDICAID
SC
Enumeration date
09/30/2005
Last updated
12/27/2013
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