Individual
JEREMY WADE SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1531 N ASPEN ST, LINCOLNTON, NC 28092-7268
(704) 732-8736
Mailing address
4109 RIVER BIRCH DR, IRON STATION, NC 28080-8509
(704) 999-3452
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-03042
NC
Other
Enumeration date
08/04/2011
Last updated
06/03/2014
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