Individual
JAY R OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-7288
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-7288
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103006
NC
Other
Enumeration date
03/16/2006
Last updated
01/09/2022
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