Individual
MR. JEFFREY PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1509 DOCTORS CIR BLDG C, WILMINGTON, NC 28401-7403
(910) 662-7500
(910) 662-7501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-7500
(910) 662-7501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00385
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-00385 PA-C
NC
Other
Enumeration date
04/18/2006
Last updated
05/27/2021
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