Individual
JONATHON ERIC HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
(910) 667-5650
Mailing address
195 ELLSWORTH MANOR DR, HILLSBOROUGH, NC 27278-9861
(570) 713-8125
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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