Individual
JOHN JAY TRIPLETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3254
Mailing address
5500 STONEBRIDGE RD, PLEASANT GARDEN, NC 27313-8226
(336) 641-3254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100176
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA0000006
—
NC
Enumeration date
03/05/2007
Last updated
07/08/2007
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