Individual
MR. MARK JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 HORSESHOE DR, GOLDSBORO, NC 27534-8715
(919) 440-8989
Mailing address
303 HORSESHOE DR, GOLDSBORO, NC 27534-8715
(919) 440-8955
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/29/2008
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