Individual
MR. JASON SAMUEL MCNAUGHTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO CERT PROSTH/ORTH
Contact information
Practice address
234 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 323-9016
(910) 486-8712
Mailing address
PO BOX 87067, FAYETTEVILLE, NC 28304
(910) 323-9016
(910) 486-8712
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO02333
NC
224P00000X
Prosthetist
Primary
CPO02333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795107
—
NC
Enumeration date
09/21/2006
Last updated
04/26/2011
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