Individual
DR. JEROME A OLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1933
Mailing address
109 BOWEN ST, ATLANTIC BEACH, NC 28512-5200
(252) 247-9413
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22952
NC
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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