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Individual

DR. WILLIAM JESSE JOHNCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
36 14TH AVE NE, SUITE 102, HICKORY, NC 28601-2581
(828) 327-3029
(828) 327-3181
Mailing address
36 14TH AVE NE, SUITE 102, HICKORY, NC 28601-2581
(828) 327-3029
(828) 327-3181

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
348
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0808 N
BLUE CROSS BLUE SHIELDNC
NC
05
890808 N
NC
Enumeration date
06/28/2006
Last updated
12/04/2012
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