Individual
DR. EDWARD W JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1427 N WESLEYAN BLVD, ROCKY MOUNT, NC 27804-1843
(252) 977-7197
(252) 977-7403
Mailing address
1427 N WESLEYAN BLVD, ROCKY MOUNT, NC 27804-1843
(252) 977-7197
(252) 977-7403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994578
—
NC
Enumeration date
06/26/2006
Last updated
07/08/2007
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