Individual
MR. JERRY SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 STEVENS MILL RD, GOLDSBORO, NC 27530-1056
(919) 731-3206
Mailing address
102 N MARION DR, GOLDSBORO, NC 27534-7612
(919) 751-9309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101242
NC
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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