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Individual

DR. JASON MICHAEL PESQUEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1614 N HIGHWAY 56, CREEDMOOR, NC 27522-2752
(919) 575-6103
(919) 575-6817
Mailing address
PO BOX 986, OXFORD, NC 27565-0986
(919) 690-3000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-00488
NC
207Q00000X
Family Medicine Physician
202100488
NC

Other

Enumeration date
04/21/2014
Last updated
08/20/2021
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