Individual
MR. JORGE LUIS CACERES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
116 CAMPUS AVE, RAEFORD, NC 28376-2606
(910) 875-9087
(910) 875-4597
Mailing address
3186 BITTERSWEET DR, FAYETTEVILLE, NC 28306-2518
(910) 875-9087
(910) 875-4597
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NC 102392
NC
Other
Enumeration date
04/04/2006
Last updated
09/02/2010
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