Individual
PETER S. JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
706 W KING ST, KINGS MOUNTAIN, NC 28086-2708
(980) 487-3751
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019-00974
NC
208M00000X
Hospitalist Physician
Primary
2019-00974
NC
Other
Enumeration date
06/18/2014
Last updated
07/15/2024
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