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Individual

DR. JAMES JEROME MARNOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 JANE JACOBS RD STE 101, BLACK MOUNTAIN, NC 28711-8308
(828) 298-0333
(828) 298-0050
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5698

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9500655
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101Y
BCBS OF NC-PRACTICE #
NC
01
080127240
PALMETTO GBA-RAILROAD MED
NC
01
54940
BCBS OF NC -INDIVIDUAL
NC
01
56-2093810
UNITED HEALTHCARE #
NC
05
790101Y
NC
05
8954940
NC
Enumeration date
11/17/2006
Last updated
02/02/2021
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