Individual
JERRY DONALD DAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
137 MEDICAL LANE, POLLOCKSVILLE, NC 28573
(252) 633-1010
(252) 224-3071
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 633-1010
(252) 224-3071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100637
NC
363A00000X
Physician Assistant
73
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11729
BLUE CROSS
NC
05
—
8911729
—
NC
Enumeration date
08/24/2005
Last updated
02/22/2022
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