Individual
DR. GEORGE PERRY JERNIGAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 PARKWOOD MEDICAL PK, ELKIN, NC 28621
(333) 835-7113
Mailing address
320 PARKWOOD MEDICAL PK, ELKIN, NC 28621
(336) 835-7113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7994562
—
NC
Enumeration date
08/04/2006
Last updated
02/28/2008
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