Individual
MICHAEL C JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 RUSSELL ST, APT #16, NORTH QUINCY, MA 02171-1658
(760) 585-5052
Mailing address
14 RUSSELL ST, APT #16, NORTH QUINCY, MA 02171-1658
(760) 585-5052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
232477
MA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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