Individual
JACK MAVERICK O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 MANNING DR, CHAPEL HILL, NC 27599-7595
(984) 974-4888
Mailing address
590 MANNING DR, CHAPEL HILL, NC 27599-7595
(984) 974-4888
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
337870
NC
Other
Enumeration date
04/30/2026
Last updated
05/05/2026
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