Organization
G PERRY JERNIGAN II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PERRY JERNIGAN II DDS (DENTIST)
(336) 835-7113
Entity
Organization
Contact information
Practice address
320 PARKWOOD MEDICAL PK, ELKIN, NC 28621
(336) 835-7113
(336) 835-4657
Mailing address
320 PARKWOOD MEDICAL PK, ELKIN, NC 28621
(336) 835-7113
(336) 835-4657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4362
NC
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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